Iris Boettcher MD

NPI 1003863226 - Internal Medicine - 207RG0300X

NPI Details
NPI 1003863226
Gender Female
Enumeration Date 05/31/2006
Last Updated 07/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
7751 BYRON CENTER AVE SW
SUITE C
BYRON CENTER MI, 49315-8001, US
Phone (616) 776-7430
Fax
Business Location
100 MICHIGAN ST NE
MC845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 207RG0300X
License State Michigan
License Number 4301049244
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According to our database, Iris Boettcher MD NPI is 1003863226, taxonomy code is 207RG0300X and license number is 4301049244, license state is located at Michigan. Iris Boettcher MD physically located at 7751 Byron Center Ave Sw, Byron Center MI, 49315-8001. NPI Number Iris Boettcher MD has the Individual type.

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1003863226 NPI number is provided on an as is basis without warranty of any kind. 1003863226 is maintained by the National Plan & Provider Enumeration System. The contents of Iris Boettcher MD are for informational purposes only.