Individual provider · Type 1 NPI

Bobga S. Fomunung, MD

Psychiatry Physician · Grand Rapids, MI

NPI number 1700899010 Active

Practice location

1939 Division Ave S
Grand Rapids, MI 49507-2459

Call (616) 247-3815 Map

Fax (616) 245-0450

Mailing address

1281 Innisbrook Ct
Holland, MI 49423-5502

Other practice locations

  • 1281 Innisbrook Ct, Holland, MI 49423-5502 · (616) 834-7279

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800X5315017245 (MI)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1700899010

Bobga S. Fomunung, MD's National Provider Identifier is 1700899010, issued on Aug 15, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 26, 2026.