Individual
MICHAEL F BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, SUITE 400 EAST, CHESTERFIELD, MO 63017-3417
(314) 878-2888
(314) 576-8157
Mailing address
PO BOX 504178, SAINT LOUIS, MO 63150-0001
(314) 878-2888
(314) 576-8157
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
100747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203410808
—
MO
Enumeration date
04/12/2006
Last updated
01/31/2014
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