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Justin Bouma, DO
Student in an Organized Health Care Education/Training Program in Flint, Michigan
NPI 1275114282

Justin Bouma is a Student in an Organized Health Care Education/Training Program based in Flint, MI. Justin Bouma practices in Flint, MI and has the professional credentials of DO. The NPI Number for Justin Bouma is 1275114282 and holds a License No. 5151014814 (Michigan).

The current practice location address for Justin Bouma is 401 S Ballenger Hwy, Flint, MI and can be reached out via phone at 810-342-2000 and via fax at 810-342-3659.

Location: 401 S Ballenger Hwy, Flint, MI, 48532-3638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275114282
Provider Name
Justin Bouma
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
401 S Ballenger Hwy, Flint, MI, 48532-3638
Phone Number
810-342-2000
Fax Number
810-342-3659
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 S Ballenger Hwy
City
Flint
State
Michigan
Zip
48532-3638
Phone Number
810-342-2000
Fax Number
810-342-3659
person
Provider Business Mailing Address Details
Address
401 S Ballenger Hwy
City
Flint
State
Michigan
Zip
48532-3638
Phone Number
810-342-2000
Fax Number
810-342-3659
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151014814 (Michigan)
Definition
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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