MATTHEW BOULIS

DETROIT, MI
NPI1194666933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-04
Last Update Date2026-04-04
Business Address
MATTHEW BOULIS DO
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-7888
Mailing Address
MATTHEW BOULIS DO
6675 QUEEN ANNE DR
WEST BLOOMFIELD, MI 48322-2781
Phone number: 248-860-1146
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