Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Shawn Bolan, DO

Individual provider Family Medicine Physician · NPI 1659488807

Dr. Michael Shawn Bolan, DO is a Family Practice in Kentwood, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1985, 41 years ago. Practices with Aspirus Wausau Hospital Inc, a 240-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
41
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2272 32nd St SE
Kentwood, MI 49508-1509
Phone: (616) 247-0399
Fax: (616) 247-0499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101009303 (MI)

Record details

NPI number1659488807
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESAugust 14, 2014
Mailing address2272 32nd St Se, Kentwood, MI 49508-1509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1985 (41 years in practice)
Group practice Aspirus Wausau Hospital Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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