Organization
NORMAN BOLTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN J BOLTON M.D. (MANAGING AGENT/OWNER)
(248) 642-8003
Entity
Organization
Contact information
Practice address
31500 TELEGRAPH RD, STE 210, BINGHAM FARMS, MI 48025-4367
(248) 642-8003
Mailing address
31500 TELEGRAPH RD, STE 210, BINGHAM FARMS, MI 48025-4367
(248) 642-8003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301023429
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101004102
—
MI
Enumeration date
05/04/2006
Last updated
02/08/2010
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