Individual
DANIEL DAVIS BOSIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301099964
MI
208M00000X
Hospitalist Physician
Primary
4301099964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912193277
—
MI
Enumeration date
09/20/2007
Last updated
04/28/2014
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