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Individual

ALEX BOU CHEBL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301115829
MI
2084V0102X
Vascular Neurology Physician
4301115829
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301115829
MI

Other

Enumeration date
06/02/2006
Last updated
10/19/2023
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