BRYAN E BOLEN

EAST LANSING, MI
NPI1548820467
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  5101026250)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-06-13
Last Update Date2023-11-27
Business Address
BRYAN E BOLEN DO
909 WILSON RD RM B119
EAST LANSING, MI 48824-6410
Phone number: 517-353-3070
Mailing Address
BRYAN E BOLEN DO
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone number: 517-353-3070