Individual
DR. STEPHEN EARL BOODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 W MAPLE RD, SUITE 104, CLAWSON, MI 48017-1000
(248) 288-3200
(248) 288-0530
Mailing address
909 W MAPLE RD, SUITE 104, CLAWSON, MI 48017-1000
(248) 288-3200
(248) 288-0530
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
032164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2950744
—
MI
Enumeration date
12/06/2005
Last updated
03/31/2016
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