SearchIndiana363L00000X

Michelle Bolyard, NP

NPI 1316370018 · on the registry since 2013

Practice

Address
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone
(260) 432-2297
Fax
(260) 434-6481
Organisation at this address
Mgfw Surgery Center, Llc
Lutheran Medical Group Llc
Medical Group Of Fort Wayne, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Additional practice sites

  • 2500 N Detroit St, Lagrange, IN

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana