SearchMichigan183500000X

Michelle Boahbedason

NPI 1497033732 · on the registry since 2011 · sole proprietor

Practice

Address
4252 Kalamazoo Ave Se
Grand Rapids, MI 49508
Phone
(616) 281-1323
Fax
(616) 281-1330

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-12

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