NPI
Rose Marie Bouck
NPI 1073081907
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-11-08
- Last updated
- 2018-11-08
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Specialties
Licenses
- License MI
- Af410395782
Location
- Practice location
- 12700 Lincoln Lake Ave
- City
- Gowen MI
- Postal code
- 49326
- Phone
- (231) 580-4533
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Gowen, MI. 13 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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