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Jacob Boehm, M.S
NPI 1043751118 · on the registry since 2017
Practice
- Address
- 668 3 Mile Rd Nw
Grand Rapids, MI 49544 - Phone
- (616) 649-3129
- Organisation at this address
- Lidderdale Consulting Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2017-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan