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Individual

MICHAEL S BOLT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
834 N SOCORA, STE 2, WICHITA, KS 67212
(316) 722-8883
(316) 721-4864
Mailing address
1851 N WEBB RD, FLOOR 2, WICHITA, KS 67208
(316) 636-2010
(316) 858-3830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0421978
KS

Other

Enumeration date
02/27/2006
Last updated
07/08/2007
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