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Charles Bukrey MD NPI 1003804592

Classification
Orthopaedic Surgery
Type
License No.
4301037351
License State
MI
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: 0442790001
Type: MEDICARE OSCAR/CERTIFICATION (06)
State:
Identifier: E35390
Type: MEDICARE UPIN (02)
State:
Identifier: OD14869004
Type: MEDICARE PIN (08)
State:
Identifier: 0D14869
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State:
Identifier: 1258113
Type: MEDICAID (05)
State: MI

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1111 LEFFINGWELL AVE, GRAND RAPIDS, MI, 49525
Business Phone
616-459-7101
Mailing Address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI, 495256406
Mailing Phone
616-459-7101
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