Most Relevant Information
Provider Data
| NPI Number: | 1003804592 |
| Provider Name: | CHARLES D BUKREY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 4301037351 |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 02/15/2008 |
Provider Practice Location
1111 LEFFINGWELL AVE NE
SUITE 100
GRAND RAPIDS
MI
495256406
Practice Location Phone/Fax
| Phone: | 6164597101 |
| Fax: | 6164646170 |
Provider Mailing Location
1111 LEFFINGWELL AVE NE
SUITE 100
GRAND RAPIDS
MI
495256406
Provider Mailing Phone/Fax
| Phone: | 6164597101 |
| Fax: | 6164646170 |
Suggested EMR
Orthopedic EMR