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ALYSON BOOTH MD

Physicians Pathology Cytopathology

Provider NPI: 1013903848

Provider Information:
 ALYSON  BOOTH MD
Gender: F

Practice Location:
2990 FRANKLIN AVE SW  GRANDVILLE, MI 49418-3505 US
Tel: 616-530-3344  Fax: 616-532-8040

Business Mailing Address:
PO BOX 936  GRANDVILLE, MI 49468-0936 US
Tel: 616-530-3344  Fax: 616-532-8040

NPI Information:
NPI: 1013903848
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZC0500XPhysicians
Pathology
Cytopathology
MI4301077497

Other Provider Identifiers:

IssuerNumberStateType
4485429MI05
4485410MI05



American Medical Association 2012 taxonomy code information

Code: 207ZC0500X

Type:

Classification:



Definition:



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