Kyle Christopher Bohm, M.D.
Surgery, Surgery of the Hand in Warren, MI. Individual provider (NPI-1).
NPI number1477878288
StatusActive
Last updated in NPPESJan 12, 2017
Details
- NPI
- 1477878288
- Entity type
- Individual (NPI-1)
- Name
- Kyle Christopher Bohm
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2010
- Last updated
- Jan 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0105X | Surgery, Surgery of the Hand | 4301109292 | MI | Yes |
| 207X00000X | Orthopaedic Surgery | 4301109292 | MI |
Practice location
11900 E 12 Mile RdSuite 110
Warren, MI 48093-3400
Phone 586-216-1960
Mailing address
27472 Schoenherr Rd140
Warren, MI 48088-6688
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