DR. Michael J Boulter, MD
NPI #1386677110 in Jamestown, North Dakota
Provider Information
- NPI Number
- 1386677110
- Entity Type
- Individual
- Name
- DR. Michael J Boulter, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 419 5TH ST NE
- City
- Jamestown
- State
- North Dakota
- ZIP Code
- 58401-3300
- Phone
- (701) 253-4855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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Organizations
| Provider Name | |
|---|---|
| Lutheran Charity Association |
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