Individual
DR. NORMAN RUSSELL BOEVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 WISCONSIN AVE, GRAND HAVEN, MI 49417-2472
(616) 846-4530
(616) 846-9271
Mailing address
1310 WISCONSIN AVE, GRAND HAVEN, MI 49417-2472
(616) 846-4530
(616) 846-9271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301027086
MI
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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