Individual
DANIEL FRANCIS BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL, LANSING, MI 48912-1811
(231) 955-3360
Mailing address
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL, LANSING, MI 48912-1811
(231) 955-3360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q4042
TX
207Q00000X
Family Medicine Physician
Primary
5101019252
MI
Other
Enumeration date
06/14/2011
Last updated
10/08/2015
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