Stephen Earl Boodin M.D.

NPI 1093799702 - Neurological Surgery - 207T00000X

NPI Details
NPI 1093799702
Gender Male
Enumeration Date 12/06/2005
Last Updated 03/31/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
909 W MAPLE RD
SUITE 104
CLAWSON MI, 48017-1000, US
Phone (248) 288-3200
Fax (248) 288-0530
Business Location
909 W MAPLE RD
SUITE 104
CLAWSON MI, 48017-1000, US
Phone (248) 288-3200
Fax (248) 288-0530
Toxanomy
Taxonomy Code 207T00000X
License State Michigan
License Number 032164
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According to our database, Dr. Stephen Earl Boodin M.D. NPI is 1093799702, taxonomy code is 207T00000X and license number is 032164, license state is located at Michigan. Stephen Earl Boodin M.D. physically located at 909 W Maple Rd, Clawson MI, 48017-1000. NPI Number Stephen Earl Boodin M.D. has the Individual type.

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1093799702 NPI number is provided on an as is basis without warranty of any kind. 1093799702 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Earl Boodin M.D. are for informational purposes only.