Individual
SAMAR MARIE BOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4597
(517) 371-1700
(517) 371-4245
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4597
(517) 371-1700
(517) 371-4245
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101024418
MI
Other
Enumeration date
03/12/2015
Last updated
04/22/2022
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