NPI 1073908091

Bradley Mark Boelkins, MD

Practitioner Allergy & Immunology Physician Grand Rapids, MI

Practice location

Address: 3271 Clear Vista CT NE, Grand Rapids, MI 49525-9477
Phone: (616) 267-7125
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 4301502619 (MI)

Other Allergy & Immunology providers in Michigan →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4301502619 (MI)

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1073908091
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2015
Record last updated: 28 Jun 2021

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.