Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE M. BOSSENBROEK, M.D.
ActiveNICOLE M. BOSSENBROEK, M.D. is a Dermatopathology healthcare provider located in NORTON SHORES, Michigan. NPI 1619909611 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · NORTON SHORES, MI
Registration Details
- NPI Number
- 1619909611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2006 (20.073610073528 yrs)
- Last Updated
- Feb 16, 2010
- Licenses
-
046274 (CT)4301079716 (MI)
Practice Information
- Address
-
6225 PRAIRIE STNORTON SHORES, MI, 494447831Browse MI providers · Browse ZIP 49444
- Phone
- 2317989500
- Fax
- 2317989533
- Primary Specialty
-
Dermatopathology
207ND0900X
- Additional Specialty
- Dermatopathology
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.