NPI 1003804592
Charles D Bukrey, MD
Practice location
- Address
- 1111 Leffingwell Ave NE Suite 100, Grand Rapids, MI 49525-6406
- Phone
- (616) 459-7101
- Fax
- (616) 464-6170
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1003804592
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Oct 2005
- Record last updated
- 15 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.