Michael M Boustany MD INC
NPI #1326044710 in Charleston, West Virginia
Provider Information
- NPI Number
- 1326044710
- Entity Type
- Organization
- Organization Name
- Michael M Boustany MD INC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Jun 22, 2005
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 415 MORRIS ST
- Address 2
- STE 105
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-1840
- Phone
- (304) 343-7557
Authorized Official
- Name
- MICHAEL M BOUSTANY, MD
- Title
- OWNER
- Phone
- (304) 343-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Surgery - Vascular Surgery — Vascular Surgery |
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