Individual
DR. JENNIFER NOFAR BOUKOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22101 MOROSS RD, DEPARTMENT OF EMERGENCY MEDICINE, DETROIT, MI 48236-2148
(313) 343-8797
(313) 343-7620
Mailing address
22101 MOROSS RD, DEPARTMENT OF EMERGENCY MEDICINE, DETROIT, MI 48236-2148
(313) 343-8797
(313) 343-7620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301088556
MI
Other
Enumeration date
06/08/2007
Last updated
02/20/2008
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