Individual
ANTHONY BOLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
3322 LOUSMA DR SE STE 502, GRAND RAPIDS, MI 49548-2200
(616) 233-0615
(616) 988-6425
Mailing address
1932 BURLINGAME AVE SW, GRAND RAPIDS, MI 49509-1246
(616) 233-0615
(616) 988-6425
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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