Healthcare Provider Details

I. General information

NPI: 1407049109
Provider Name (Legal Business Name): PATRICE ELAINE BOBIER CM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2007
Last Update Date: 08/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 E LOOP RD
HESPERIA MI
49421-7502
US

IV. Provider business mailing address

4220 E LOOP RD
HESPERIA MI
49421-7502
US

V. Phone/Fax

Practice location:
  • Phone: 231-861-2234
  • Fax: 231-861-2924
Mailing address:
  • Phone: 231-861-2234
  • Fax: 231-861-2924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: