MICHAEL M BOUSTANY

SOUTH CHARLESTON, WV
NPI1619973096
Former NameMOHAMMAD M BOUSTANY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: WV  10600)
Additional Taxonomies2086S0129X Surgery, Vascular Surgery
(Licence: WV  10600)
Enumeration Date2005-06-22
Last Update Date2021-12-22
Business Address
MICHAEL M BOUSTANY MD
434 DIVISION ST
SOUTH CHARLESTON, WV 25309
Phone number: 304-766-7140
Mailing Address
MICHAEL M BOUSTANY MD
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-414-4800