Individual
DR. AIDA BODOUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 E MICHIGAN AVE, JACKSON, MI 49202-3518
(517) 787-4727
(517) 784-1747
Mailing address
1400 E MICHIGAN AVE, JACKSON, MI 49202-3518
(517) 787-4727
(517) 784-1747
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301032967
MI
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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