MICHAEL SHAWN BOLAN

KENTWOOD, MI
NPI1659488807
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  5101009303)
Enumeration Date2006-08-24
Last Update Date2014-08-14
Business Address
Dr. MICHAEL SHAWN BOLAN D.O.
2272 32ND ST SE
KENTWOOD, MI 49508-1509
Phone number: 616-247-0399
Mailing Address
Dr. MICHAEL SHAWN BOLAN D.O.
2272 32ND ST SE
KENTWOOD, MI 49508-1509
Phone number: 616-247-0399