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1740601756
NATHAN BOUWKAMP
GRAND RAPIDS, MI
NPI
1740601756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704246189)
Enumeration Date
2013-12-17
Last Update Date
2024-11-05
Business Address
NATHAN BOUWKAMP C-FNP
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-8860
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Mailing Address
NATHAN BOUWKAMP C-FNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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