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1518906221
JONATHAN TODD BOLTHOUSE
GRAND RAPIDS, MI
NPI
1518906221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MI 4301065768)
Enumeration Date
2006-06-06
Last Update Date
2024-06-26
Business Address
JONATHAN TODD BOLTHOUSE MD
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI 49506-2969
Phone number: 616-267-7333
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Mailing Address
JONATHAN TODD BOLTHOUSE MD
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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