Individual
DAVID CRAIG BOERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
703 BALL AVE NE, GRAND RAPIDS, MI 49503-1307
(616) 774-0207
(616) 632-6361
Mailing address
703 BALL AVE NE, GRAND RAPIDS, MI 49503-1307
(616) 774-0207
(616) 632-6361
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
6301006074
MI
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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