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Dr. Marshall Alan Boose, D.O.

Orthopaedic Surgery in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1639610223
StatusActive
Last updated in NPPESJul 26, 2022

Details

NPI
1639610223
Entity type
Individual (NPI-1)
Name
Dr. Marshall Alan Boose
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 15, 2017
Certification date
Jul 26, 2022
Last updated
Jul 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery5101026652MIYes

Practice location

1111 Leffingwell Ave Ne
Grand Rapids, MI 49525-6406

Phone 616-459-7101 · Fax 616-464-6170

Mailing address

1111 Leffingwell Ave Ne
Grand Rapids, MI 49525-6406

Phone 616-459-7101 · Fax 616-464-6170

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