NPI 1477878288 · live from the CMS NPI Registry
Kyle Christopher Bohm, M.D.
Surgery, Surgery of the Hand in Warren, MI. National Provider Identifier 1477878288, active.
NPI record
| NPI | 1477878288 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Surgery, Surgery of the Hand 2086S0105X |
| Practice location | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093 |
| Practice phone | 586-216-1960 |
| Mailing address | 27472 Schoenherr Rd, 140, Warren, MI 48088 |
| Enumerated | April 5, 2010 |
| Last updated | January 12, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery, Surgery of the Hand primary | 2086S0105X | 4301109292 (MI) |
| Orthopaedic Surgery | 207X00000X | 4301109292 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.