Individual
DR. MICHAEL J BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 CAMPUS AVE, SUITE 201, LEWISTON, ME 04240-6045
(207) 777-8810
(207) 777-8155
Mailing address
PO BOX 4140, BOSTON, MA 02241-4140
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
011487
ME
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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