Individual
MICHAEL BOLDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-4501
(910) 547-3017
Mailing address
BAMC, 3851 ROGER BROOKE DRIVE, MCHEQD (CREDS), FORT SAM HOUSTON, TX 78234-6200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
06/11/2020
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