Individual provider · Type 1 NPI

Xiaofeng S. Botner

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1962936831 Active

Practice location

1104 Stonebrook Ct NE
Grand Rapids, MI 49505-7216

Call (734) 649-9096 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5302042712 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962936831

Xiaofeng S. Botner's National Provider Identifier is 1962936831, issued on Apr 17, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 17, 2017.