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Individual
CHRISTOPHER GARRETT BOULLION
Active
Individual
CHRISTOPHER GARRETT BOULLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1429
SC
207X00000X
Orthopaedic Surgery Physician
5101016197
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01429100
—
SC
Enumeration date
04/04/2007
Last updated
01/26/2022
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