| NPI | 1225629678 |
|---|---|
| Doing Business As | MICHAEL T. BOLER, M.D. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOLER Md 662-453-5331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |