Adam Keith Boettcher M.D.

NPI 1134325012 - Surgery - 208600000X

NPI Details
NPI 1134325012
Gender Male
Enumeration Date 06/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 MONROE AVE NW
GRAND RAPIDS MI, 49503-1455, US
Phone (616) 732-6200
Fax
Business Location
3842 W DE BLAAY CT SE
KENTWOOD MI, 49512-9500, US
Phone (616) 656-1441
Fax
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number 4301090356
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According to our database, Adam Keith Boettcher M.D. NPI is 1134325012, taxonomy code is 208600000X and license number is 4301090356, license state is located at Michigan. Adam Keith Boettcher M.D. physically located at 1000 Monroe Ave Nw, Grand Rapids MI, 49503-1455. NPI Number Adam Keith Boettcher M.D. has the Individual type.

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1134325012 NPI number is provided on an as is basis without warranty of any kind. 1134325012 is maintained by the National Plan & Provider Enumeration System. The contents of Adam Keith Boettcher M.D. are for informational purposes only.