Peter Henry Bast M.D.

NPI 1295937332 - Ophthalmology - 207W00000X

NPI Details
NPI 1295937332
Gender Male
Enumeration Date 06/01/2007
Last Updated 01/19/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
111 W 24TH ST
HOLLAND MI, 49423-4791, US
Phone (616) 396-0006
Fax
Business Location
111 W 24TH ST
HOLLAND MI, 49423-4791, US
Phone (616) 396-0006
Fax
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301088667
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According to our database, Peter Henry Bast M.D. NPI is 1295937332, taxonomy code is 207W00000X and license number is 4301088667, license state is located at Michigan. Peter Henry Bast M.D. physically located at 111 W 24th St, Holland MI, 49423-4791. NPI Number Peter Henry Bast M.D. has the Individual type.

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1295937332 NPI number is provided on an as is basis without warranty of any kind. 1295937332 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Henry Bast M.D. are for informational purposes only.