Individual
MICHAEL BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 491-9981
Mailing address
120 S BARSTOW ST, EAU CLAIRE, WI 54701-3642
(715) 491-9981
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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