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1487680302
STEPHEN BOSSENBERRY
GRAND RAPIDS, MI
NPI
1487680302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301087079)
Enumeration Date
2006-06-23
Last Update Date
2010-07-30
Business Address
-- STEPHEN BOSSENBERRY M.D.
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-752-3092
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Mailing Address
-- STEPHEN BOSSENBERRY M.D.
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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