Individual provider · Type 1 NPI

Laura Haist Bose, PA-C

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1326448341 Active

Practice location

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537

Call (616) 459-7258 Map

Fax (616) 459-5125

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601007092 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1326448341

Laura Haist Bose, PA-C's National Provider Identifier is 1326448341, issued on Aug 27, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 9, 2022.