Individual
MR. NORMAN ALEXANDER BOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19229 MACK AVE, SUITE 34, GROSSE POINTE, MI 48236
(313) 343-0209
(313) 343-0427
Mailing address
19229 MACK AVE, SUITE 34, GROSSE POINTE, MI 48236
(313) 343-0209
(313) 343-0427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NB039815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120204
—
MI
Enumeration date
06/26/2006
Last updated
02/23/2010
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