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Joshua Boulter, MD
Diagnostic Radiology Physician in Southfield, Michigan
NPI 1245855667

Joshua Boulter is a Diagnostic Radiology Physician based in Southfield, MI and is specialized in Diagnostic Radiology. Joshua Boulter practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Joshua Boulter is 1245855667 and holds a License No. (Michigan).

The current practice location address for Joshua Boulter is 2250 Providence Drive, Southfield, MI and can be reached out via phone at 248-849-3281 and via fax at 248-849-5449.

Location: 2250 Providence Drive, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245855667
Provider Name
Joshua Boulter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2250 Providence Drive, Southfield, MI, 48075-4818
Phone Number
248-849-3281
Fax Number
248-849-5449
Provider Enumeration Date
06/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2250 Providence Drive
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3281
Fax Number
248-849-5449
person
Provider Business Mailing Address Details
Address
2250 Providence Drive
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-3281
Fax Number
248-849-5449
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
1245855667 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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