Individual
MATTHEW BARRY BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 N CLIPPERT ST, LANSING, MI 48912-4701
(517) 999-2273
Mailing address
5604 STAR FLOWER DR, HASLETT, MI 48840-8693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301111245
MI
Other
Enumeration date
06/13/2011
Last updated
02/27/2017
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