Dr STEPHEN DALE BOVENKERK is a male medical professional, specializing in Otolaryngology. He graduated in 2003 from Chicago College Of Osteopathic Medicine.
LAKELAND MEDICAL PRACTICES
1234 NAPIER AVE
SAINT JOSEPH
MI
490852112
Tel: 2699838300
| Npi | 1760503171 |
| Pac Id | 7315010410 |
| Professional Enrollment Id | I20080723000279 |
| Last Name | BOVENKERK |
| First Name | STEPHEN |
| Middle Name | DALE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LAKELAND MEDICAL PRACTICES |
| Group Practice Pac Id | 1658427042 |
| Number Of Group Practice Members | 193 |
| Line 1 Street Address | 1234 NAPIER AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 490852112 |
| Phone Number | 2699838300 |
| Hospital Affiliation Ccn 1 | 230021 |
| Hospital Affiliation Lbn 1 | LAKELAND HOSPITAL, ST JOSEPH |
| Hospital Affiliation Ccn 2 | 230078 |
| Hospital Affiliation Lbn 2 | COMMUNITY HOSPITAL- WATERVLIET |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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