DR. Glen Michael Bouchard, D.O.

NPI #1790751667 in Palmer, Massachusetts

Provider Information

NPI Number: 1790751667
Entity Type: Individual
Name: DR. Glen Michael Bouchard, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Feb 28, 2006
Last Updated: Dec 10, 2015

Practice Location

Address: 40 WRIGHT ST
City: Palmer
State: Massachusetts
ZIP Code: 01069-1138
Phone: (413) 284-5308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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