Individual
TIARA BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 907-8000
Mailing address
965 WILSON RD RM A233, EAST LANSING, MI 48824-6410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351055281
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/19/2023
Last updated
06/13/2025
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