Individual
COLIN BOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5000
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5101022380
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2016
Last updated
06/30/2016
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