Todd Boonstra, PA

Physician Assistant · Zeeland, MI

Individual Active NPI

NPI number 1679587661

Practice location

8300 Westpark Way
Zeeland, MI 49464-7901
Phone
(616) 748-5778

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NPI record

NPI
1679587661
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
September 10, 2021
Certified
September 10, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601003342 MI
Physician Assistant 363A00000X PA759 KY

About Todd Boonstra

Todd Boonstra, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 8300 Westpark Way, Zeeland, MI 49464-7901. The NPI number 1679587661 was assigned on July 28, 2006 and the record was last updated on September 10, 2021.

Todd Boonstra lists 2 licenses in the registry: #5601003342 (MI) for Physician Assistant; #PA759 (KY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Todd Boonstra, PA?

The NPI number is 1679587661.

What is the phone number of Todd Boonstra?

The phone number listed for the practice location is (616) 748-5778.

Where is Todd Boonstra located?

8300 Westpark Way, Zeeland, MI 49464-7901.

What is the taxonomy code for Todd Boonstra?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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