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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WILLIAM GLENN BOUMAN, M.D.

Active Sole Proprietor

Nephrology · GRAND RAPIDS, MI

Registration Details

NPI Number
1154675825
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2012 (13.533662062736 yrs)
Last Updated
Nov 2, 2012
License
4301025391 (MI)
Sole Proprietor
Yes

Practice Information

Address
1141 HIGH POINT DR. NW
GRAND RAPIDS, MI, 495447341
Browse MI providers · Browse ZIP 49544
Phone
6167858559
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.