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1154675825
WILLIAM GLENN BOUMAN
GRAND RAPIDS, MI
NPI
1154675825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MI 4301025391)
Enumeration Date
2012-11-02
Last Update Date
2012-11-02
Business Address
Dr. WILLIAM GLENN BOUMAN M.D.
1141 HIGH POINT DR. NW
GRAND RAPIDS, MI 49544-7341
Phone number: 616-785-8559
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Mailing Address
Dr. WILLIAM GLENN BOUMAN M.D.
1141 HIGH POINT DR. NW
GRAND RAPIDS, MI 45944-7341
Phone number: 616-785-8559
Copy
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