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Individual

DR. MARK R BOELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324
Mailing address
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506-1267
(616) 752-6235
(616) 752-6324

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301047768
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1896752
MI
Enumeration date
10/04/2006
Last updated
10/29/2021
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