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Dr. Brian Mitchell Boville, MD
Critical Care Medicine (Anesthesiology) Physician in Grand Rapids, Michigan
NPI 1902863871

Brian Mitchell Boville is a Critical Care Medicine (Anesthesiology) Physician based in Grand Rapids, MI and is specialized in Critical Care Medicine. Brian Mitchell Boville practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Brian Mitchell Boville is 1902863871 and holds a License No. 4301100059 (Michigan).

The current practice location address for Brian Mitchell Boville is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-267-0118 and via fax at 616-267-0090.

Location: 100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902863871
Provider Name
Brian Mitchell Boville
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Michigan St Ne, Grand Rapids, MI, 49503-2560
Phone Number
616-267-0118
Fax Number
616-267-0090
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902863871 05 MI
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-267-0118
Fax Number
616-267-0090
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-267-0118
Fax Number
616-267-0090
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Critical Care Medicine
Taxonomy
207LC0200X
License No.
4301100059 (Michigan)
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
4301100059 (Michigan)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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