Organization
RUDRICK E BOUCHER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDRICK E BOUCHER MD (PRESIDENT)
(248) 549-6060
Entity
Organization
Contact information
Practice address
32000 WOODWARD, ROYAL OAK, MI 48073
(248) 549-6060
(248) 549-6174
Mailing address
32000 WOODWARD, ROYAL OAK, MI 48073
(248) 549-6060
(248) 549-6174
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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