Most Relevant Information
Provider Data
| NPI Number: | 1003234410 |
| Provider Name: | AMBER JOY BOLHUIS PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601006957 |
Most Important Dates
| Enumeration Date: | 04/02/2014 |
| Last Updated: | 07/06/2022 |
Provider Practice Location
8333 FELCH ST
ZEELAND
MI
494642608
Practice Location Phone/Fax
| Phone: | 6163913139 |
| Fax: |
Provider Mailing Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |