DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ROBERT M BOUVIER JR. M.D.

MEDICARE: ROBERT M BOUVIER JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301048801MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124011291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M BOUVIER JR. M.D.
Provider Business Mailing Address
First Line : 5536 S SAGINAW RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48507-4421
Country : US
Telephone Number : 810-694-7412
Fax Number : 866-200-1503
Provider Business Practice Location Address
First Line : 5536 S SAGINAW RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48507-4421
Country : US
Telephone Number : 810-694-7412
Fax Number : 866-200-1503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 02/05/2025

Similar Medicare Providers

1386031680 — SUZANNE R JAMAIL PH D
Practice Location Address:
5524 S SAGINAW RD
FLINT, MI
48507-4421
Practice Phone: 519-562-3384
Practice Fax:
1851496368 — HOPE HOUSE OF ITASCA COUNTY, INC.
Practice Location Address:
2086 RIDGEWAY DR
GRAND RAPIDS, MN
55744-4421
Practice Phone: 218-327-9944
Practice Fax: 218-327-9375
1336367531 — IRIS L SENOGLES LACD
Practice Location Address:
2086 RIDGEWAY DR
GRAND RAPIDS, MN
55744-4421
Practice Phone: 218-327-9944
Practice Fax:
1063730737 — CHRISTINA SMITH CD
Practice Location Address:
2086 RIDGEWAY DR
GRAND RAPIDS, MN
55744-4421
Practice Phone: 218-327-9944
Practice Fax:
1225357437 — PEAR LAKE WOMEN'S FACILITY - OUTPATIENT
Practice Location Address:
2086 RIDGEWAY DR
GRAND RAPIDS, MN
55744-4421
Practice Phone: 218-327-9944
Practice Fax: 218-327-9944
1124549571 — KATE R. MAKINEN MSW, LGSW, LADC
Practice Location Address:
2086 RIDGEWAY DR
GRAND RAPIDS, MN
55744-4421
Practice Phone: 218-327-9944
Practice Fax: 218-327-9375

Directions to “ ROBERT M BOUVIER JR. M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.