Individual
STEVEN BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5031
(248) 335-9449
(248) 858-3933
Mailing address
44555 WOODWARD AVE, SUITE 201, PONTIAC, MI 48341-5031
(248) 335-9449
(248) 858-3933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301038308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206308521
BCBSMI
MI
01
—
4301038308
STATE LICENSE
MI
Enumeration date
01/30/2008
Last updated
03/07/2023
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