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Michael M Boustany, MD
Surgery Physician in South Charleston, West Virginia
NPI 1619973096

Michael M Boustany is a Surgery Physician based in South Charleston, WV. Michael M Boustany practices in South Charleston, WV and has the professional credentials of MD. The NPI Number for Michael M Boustany is 1619973096 and holds a License No. 10600 (West Virginia).

The current practice location address for Michael M Boustany is 434 Division St, South Charleston, WV and can be reached out via phone at 304-766-7140 and via fax at 304-766-7180.

Location: 434 Division St, South Charleston, WV, 25309-1311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619973096
Provider Name
Michael M Boustany
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
434 Division St, South Charleston, WV, 25309-1311
Phone Number
304-766-7140
Fax Number
304-766-7180
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
434 Division St
City
South Charleston
State
West Virginia
Zip
25309
Phone Number
304-766-7140
Fax Number
304-766-7180
person
Provider Business Mailing Address Details
Address
434 Division St
City
South Charleston
State
West Virginia
Zip
25309
Phone Number
304-766-7140
Fax Number
304-766-7180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
10600 (West Virginia)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
10600 (West Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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