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Individual

ARTHUR I BOUIER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
27207 LAHSER RD, SUITE 250, SOUTHFIELD, MI 48034-2168
(248) 967-3200
(248) 967-1387
Mailing address
27207 LAHSER RD, SUITE 250, SOUTHFIELD, MI 48034-2168
(248) 967-3200
(248) 967-1387

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101007369
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11OF304160
BCBS PIN
MI
05
4396374
MI
01
471738075
TAX ID
MI
01
5101007369
MEDICAL LICENSE
MI
01
5631212
BCBS
01
MI8203
GROUP PTAN
MI
01
MI8203001
PROVIDER PTAN
MI
Enumeration date
07/24/2006
Last updated
03/07/2023
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