Individual
ILSE MICHELLE BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1320 W STATE ST STE 3D, BELDING, MI 48809-9245
(616) 244-1110
Mailing address
1320 W STATE ST STE 3D, BELDING, MI 48809-9245
(616) 244-1110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016833
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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