NPI 1952903254
Anthony Bolton, TRANSPORTATION
Practice location
- Address
- 3322 Lousma Dr SE STE 502, Grand Rapids, MI 49548-2200
- Phone
- (616) 233-0615
- Fax
- (616) 988-6425
- Mailing address
- 1932 Burlingame Ave SW, Grand Rapids, MI 49509-1246
Registered specialties
Driver
Primary
Registry record
- NPI
- 1952903254
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Nov 2020
- Record last updated
- 11 Nov 2020
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.