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Individual

DR. MICHEL ADEODAT BOILEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2090 NE WYATT CT, SUITE 101, BEND, OR 97701-7687
(541) 382-6447
(541) 330-7413
Mailing address
2090 NE WYATT CT, SUITE 101, BEND, OR 97701-7687
(541) 382-6447
(541) 330-7413

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD09307
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128207
OR
Enumeration date
04/03/2006
Last updated
07/08/2007
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