CALEB PATRICK BUPP MD NPI 1841432713

NPI Information

Caleb Patrick Bupp, MD is a clinical genetics (m.d.) medical genetics in Grand Rapids, MI with 15 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Caleb Patrick Bupp, MD NPI is 1841432713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 MICHIGAN ST NE
SUITE 2000
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 391-2700
Fax: (616) 391-3114

The NPI 1841432713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2009 and was last updated on 2/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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