JONATHAN TODD BOLTHOUSE

GRAND RAPIDS, MI
NPI1518906221
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MI  4301065768)
Enumeration Date2006-06-06
Last Update Date2021-02-26
Business Address
JONATHAN TODD BOLTHOUSE MD
4069 LAKE DR SE S-313
GRAND RAPIDS, MI 49546-8816
Phone number: 616-774-9333
Mailing Address
JONATHAN TODD BOLTHOUSE MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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