Jonathan Todd Bolthouse in Grand Rapids - Urology
Jonathan Todd Bolthouse - NPI 1518906221
Jonathan Todd Bolthouse is a Urology in Grand Rapids, Michigan. Jonathan Todd Bolthouse practices all healthcare services and medical treatments related to Urology. The NPI Number for Jonathan Todd Bolthouse is 1518906221. The last update date is 2021-02-26.
Jonathan Todd Bolthouse's current location address is 4069 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167749333. The mailing address for Jonathan Todd Bolthouse is 4069 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Todd Bolthouse |
|---|---|
| Address | 4069 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6167749333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518906221 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2021-02-26 |
Provider Mailing Address Detail
| Address | 4069 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495468816 |
| Phone Number | 6167749333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 4301065768 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique 10-digit identification code assigned to Jonathan Todd Bolthouse by the Centers for Medicare & Medicaid Services?
The Jonathan Todd Bolthouse has been issued the NPI (National Provider Identifier) 1518906221, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jonathan Todd Bolthouse is physically located?
The Jonathan Todd Bolthouse is physically situated at the following address: 4069 Lake Dr Se, Grand Rapids, MI, 495468816.
What is Jonathan Todd Bolthouse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jonathan Todd Bolthouse is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
When was the Jonathan Todd Bolthouse's 1518906221 issued?
The Jonathan Todd Bolthouse's 1518906221 was issued on 2006-06-06.
As of what date were the Jonathan Todd Bolthouse's details last updated?
The information pertaining to the Jonathan Todd Bolthouse, including its address, specialty, and other details, was most recently updated on 2021-02-26.