Individual provider · Type 1 NPI
William Glenn Bouman, MD
Nephrology Physician · Grand Rapids, MI
NPI number
1154675825
Active
Practice location
1141 High Point Dr. NW
Grand Rapids, MI 49544-7341
Mailing address
1141 High Point Dr. NW
Grand Rapids, MI 45944-7341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | 4301025391 (MI) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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About NPI 1154675825
William Glenn Bouman, MD's National Provider Identifier is 1154675825, issued on Nov 2, 2012. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 2, 2012.