Judson Allen Boisvert M.D.

NPI 1689962623 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1689962623
Gender Male
Enumeration Date 07/12/2011
Last Updated 03/17/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
330 BARCLAY AVE NE
SUITE 304
GRAND RAPIDS MI, 49503-2556, US
Phone (616) 391-1929
Fax
Business Location
330 BARCLAY AVE NE
SUITE 304
GRAND RAPIDS MI, 49503-2556, US
Phone (616) 391-1929
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Michigan
License Number 4301099170
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According to our database, Dr. Judson Allen Boisvert M.D. NPI is 1689962623, taxonomy code is 207V00000X and license number is 4301099170, license state is located at Michigan. Judson Allen Boisvert M.D. physically located at 330 Barclay Ave Ne, Grand Rapids MI, 49503-2556. NPI Number Judson Allen Boisvert M.D. has the Individual type.

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1689962623 NPI number is provided on an as is basis without warranty of any kind. 1689962623 is maintained by the National Plan & Provider Enumeration System. The contents of Judson Allen Boisvert M.D. are for informational purposes only.