BOBGA S FOMUNUNG

GRAND RAPIDS, MI
NPI1700899010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  5315017245)
Enumeration Date2006-08-15
Last Update Date2024-03-26
Business Address
Dr. BOBGA S FOMUNUNG MD
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2459
Phone number: 616-247-3815
Mailing Address
Dr. BOBGA S FOMUNUNG MD
1939 S DIVISION
GRAND RAPIDS, MI 49507
Phone number: 616-247-3815
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