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1386677110
MICHAEL J BOULTER
JAMESTOWN, ND
NPI
1386677110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ND 5338)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL J BOULTER MD
419 5TH ST NE
JAMESTOWN, ND 58401-3300
Phone number: 701-253-4855
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Mailing Address
Dr. MICHAEL J BOULTER MD
PO BOX 1917
WILLISTON, ND 58802-1917
Phone number: 701-770-1238
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