LISA MARIE BOUCHER

WYANDOTTE, MI
NPI1679709463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005490)
Enumeration Date2009-06-07
Last Update Date2017-02-21
Business Address
MS. LISA MARIE BOUCHER PA-C
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-6000
Mailing Address
MS. LISA MARIE BOUCHER PA-C
1640 FORT ST SUITE D ATTNE DENISE
TRENTON, MI 48183-2040
Phone number: 734-391-3057
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