person
Jose Antonio Bouffard, MD
Nuclear Imaging & Therapy Physician in Detroit, Michigan
NPI 1043388788

Jose Antonio Bouffard is a Nuclear Imaging & Therapy Physician based in Detroit, MI and is specialized in Nuclear Imaging & Therapy. Jose Antonio Bouffard practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Jose Antonio Bouffard is 1043388788 and holds a License No. 4301044748 (Michigan).

The current practice location address for Jose Antonio Bouffard is 261 Mack Ave, Detroit, MI and can be reached out via phone at 313-966-2539 and via fax at 313-993-2630.

Location: 261 Mack Ave, Detroit, MI, 48201-2417
person
Provider Profile Details
NPI Number
1043388788
Provider Name
Jose Antonio Bouffard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
261 Mack Ave, Detroit, MI, 48201-2417
Phone Number
313-966-2539
Fax Number
313-993-2630
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
JB044748 01 MI STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
261 Mack Ave
City
State
Zip
48201-2417
Phone Number
313-966-2539
Fax Number
313-993-2630
person
Provider Business Mailing Address Details
Address
261 Mack Ave
City
State
Zip
48201-2417
Phone Number
313-966-2539
Fax Number
313-993-2630
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
License No.
4301044748 (Michigan)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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