SearchGeorgia207Y00000X

Stephen Bovenkerk, D.O

NPI 1760503171 · on the registry since 2007

Practice

Address
2151 W Spring St Ste B120
Monroe, GA 30655
Phone
(770) 207-0215
Organisation at this address
Irad, Inc.
Monroe Hma, Llc
Piedmont Walton Hospital Inc
Hospital Physician Services - Southeast Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Additional practice sites

  • 2680 S Cleveland Ave, Saint Joseph, MI

Registry record

Primary taxonomy
207Y00000X
207Y00000X
Also registered as
207YX0905X
Licence states on file
MI, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-27

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 Georgia