Nicole Bossenbroek, M.D.

Individual Active
NPI 1619909611
Dermatopathology Physician Grand Rapids, MI

NPI 1619909611 belongs to Nicole Bossenbroek, M.D., a dermatopathology physician with a practice location in Grand Rapids, MI. The NPI was issued on July 7, 2006, and the record was last updated in NPPES on August 13, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Dermatopathology Physician Primary 207ND0900X 4301079716 (MI)

Practice location

6735 Cascade Rd SE Ste 300
Grand Rapids, MI 49546-8705
Phone: (269) 321-7546

Local context

Active NPPES records list 6 providers with dermatopathology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 30 in Michigan and 729 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Nearby providers with the same primary taxonomy

Record history

Name on record
Nicole M. Bossenbroek
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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