Iris Boettcher
Geriatric Medicine
7751 Byron Center Ave Sw Suite C
Byron Center
, Michigan 49315-8001
Iris Boettcher
Geriatric Medicine
7751 Byron Center Ave Sw Suite C
Byron Center
, Michigan 49315-8001
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Iris Boettcher
- 100 Michigan St Ne Mc845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Iris Boettcher
- 7751 Byron Center Ave Sw Suite C
- Byron Center, MI
- Zip : 49315-8001
- Phone : (616) 776-7430
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 4301049244 | MI |
National Provider Identifier
| NPI | 1003863226 |
|---|---|
| Provider Name | Iris Boettcher |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Byron Center, MI 49315-8001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 04/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.