Individual
DR. MICHAEL EDWARD BOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1902 S US HIGHWAY 59 BLDG E, SUITE 300, PARSONS, KS 67357-4948
(620) 820-5840
(620) 820-5841
Mailing address
1902 S US HIGHWAY 59 BLDG E, SUITE 300, PARSONS, KS 67357-4948
(620) 820-5840
(620) 820-5841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0417184
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200362160 A
—
KS
Enumeration date
12/19/2005
Last updated
11/02/2011
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