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

DR. JOSEPH DANIEL BOSS, M.D.

Active Sole Proprietor

DR. JOSEPH DANIEL BOSS, M.D. is a 207WX0108X healthcare provider located in GRAND RAPIDS, Michigan. NPI 1912346388 is currently active in the NPPES registry. Verify at CMS.

207WX0108X · GRAND RAPIDS, MI

Registration Details

NPI Number
1912346388
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2013 (13.200362954961 yrs)
Last Updated
Jan 24, 2021
Licenses
4301103584 (MI)
4301116878 (MI)
4301116878 (MI)
Sole Proprietor
Yes

Practice Information

Address
5030 CASCADE RD SE
GRAND RAPIDS, MI, 495463725
Browse MI providers · Browse ZIP 49546
Phone
6169542020
Primary Specialty
207WX0108X
207WX0108X
Additional Specialty
Sports Medicine (Emergency)
Additional Specialty
207WX0108X
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.