Individual
DR. DON BOUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2411 W BELVEDERE AVE, STE 201, BALTIMORE, MD 21215-5229
(410) 542-5116
Mailing address
2300 BRIGHT LEAF WAY, BALTIMORE, MD 21209-3470
(410) 358-8232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D36353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528101600
—
MD
Enumeration date
10/26/2005
Last updated
03/30/2017
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