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Contact Information

PAYAL BOSS, MD
3333 EVERGREEN DR NE
GRAND RAPIDS, MI49525-9493
 Phone: 616-364-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for PAYAL BOSS · (Female)

NPI # 1245675024
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2013
Last updated 07/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301500398
  • OH License # 35.134351
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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