Organization
KRISTY S BOUCHARD DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY SUE BOUCHARD DC (OWNER/PRESIDENT)
(248) 906-2225
Entity
Organization
Contact information
Practice address
308 TOWN CENTER DR, TROY, MI 48084-1742
(248) 906-2225
Mailing address
PO BOX 4511, TROY, MI 48099-4511
(248) 906-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007569
MI
Other
Enumeration date
07/08/2016
Last updated
08/02/2019
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