Individual
DR. MICHAEL D BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9012 KIRKLEY CT, CHARLOTTE, NC 28277
(440) 681-0320
Mailing address
9012 KIRKLEY CT, CHARLOTTE, NC 28277-2750
(440) 681-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101243068
VA
207R00000X
Internal Medicine Physician
Primary
2009-00333
NC
207R00000X
Internal Medicine Physician
35.085508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911650
—
NC
05
—
N0033B
—
SC
Enumeration date
07/28/2006
Last updated
12/20/2018
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