Individual
DR. GERARD PAUL BOSSCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS.
Contact information
Practice address
4353 SAWKAW, N.E., GRAND RAPIDS, MI 49525
(616) 363-9821
(616) 365-9206
Mailing address
4353 SAWKAW, N.E., GRAND RAPIDS, MI 49525
(616) 363-9821
(616) 365-9206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166835
—
MI
Enumeration date
07/29/2008
Last updated
07/29/2008
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