Dr David Bruce Bosscher, DO | |
336 S River Ave, Holland, MI 49423-3326 | |
(616) 394-3788 | |
(616) 394-3796 |
Full Name | Dr David Bruce Bosscher |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 336 S River Ave, Holland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417950270 | NPI | - | NPPES |
0850310164 | Other | MI | BCBSM |
64025331 | Medicaid | KY | |
DB008747 | Other | MI | STATE LICENSE |
P00443946 | Other | MI | RAILROAD MEDICARE |
115223241 | Other | MI | MI MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02533 (Kentucky) | Secondary |
207Q00000X | Family Medicine | 1238 (Tennessee) | Secondary |
207Q00000X | Family Medicine | 510100847 (Michigan) | Primary |
Entity Name | Metropolitan Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
Mailing Address | Practice Location Address |
---|---|
Dr David Bruce Bosscher, DO 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Dr David Bruce Bosscher, DO 336 S River Ave, Holland, MI 49423-3326 Ph: (616) 394-3788 |
Shaena Freeman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Washington Ave, Holland, MI 49423 Phone: 616-393-8100 Fax: 877-451-0226 | |
Jessica White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-546-4950 Fax: 616-546-4955 | |
Mark Norval Folkening, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 Lakeview Ave, Holland, MI 49424 Phone: 616-502-7144 Fax: 616-786-0185 | |
William Barry Bonzelaar, M.D.032354 Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 S Washington Ave, Suite 210, Holland, MI 49423 Phone: 616-392-8035 Fax: 616-392-7404 | |
Jon W Kroeze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513 | |
Dan F Kreuzer, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 383 Garden Ave, Holland, MI 49424 Phone: 616-494-8271 Fax: 616-494-8273 | |
Christopher Lee Wedeven, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 Van Ommen Dr, Holland, MI 49424 Phone: 616-399-4946 |