NPI 1639610223 · live from the CMS NPI Registry
Marshall Alan Boose, D.O.
Orthopaedic Surgery in Grand Rapids, MI. National Provider Identifier 1639610223, active.
NPI record
| NPI | 1639610223 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525 |
| Practice phone | 616-459-7101 |
| Enumerated | March 15, 2017 |
| Last updated | July 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 5101026652 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.