Individual
MICHAEL BOLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1161 21ST AVE S, B1124 MCN, NASHVILLE, TN 37232-2521
(205) 213-2134
Mailing address
1161 21ST AVE S, B1124 MCN, NASHVILLE, TN 37232-2521
(615) 322-7484
(615) 343-8806
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/10/2025
Last updated
05/28/2025
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