Individual
MARY THERESIA BOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1180 W NIELSON RD, SANFORD, MI 48657-9604
(989) 687-7196
Mailing address
1180 W NIELSON RD, SANFORD, MI 48657-9604
(989) 687-7196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704120935
MI
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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