Individual
ALAN JACOB BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 COLEMANS XING, MARYSVILLE, OH 43040-7080
(937) 578-7950
(937) 578-7955
Mailing address
140 COLEMANS XING, MARYSVILLE, OH 43040-7080
(937) 578-7950
(937) 578-7955
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
129213
OH
Other
Enumeration date
05/08/2013
Last updated
02/08/2018
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