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Individual

DR. ANDREW BOSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101021667
MI
208M00000X
Hospitalist Physician
Primary
5101021667
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D16078501
MI
Enumeration date
06/22/2015
Last updated
04/24/2026
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