Individual
MICHAEL BOOKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(321) 229-8868
Mailing address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(321) 229-8868
(769) 572-5140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24519
MS
Other
Enumeration date
07/01/2013
Last updated
05/24/2023
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