Individual
DR. TODD K BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 486-4431
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301073668
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4935952
—
MI
Enumeration date
01/22/2007
Last updated
10/20/2011
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