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Austyn Boulware
NPI 1326504994 · on the registry since 2019
Practice
- Address
- 23225 Thorncliffe St
Southfield, MI 48033 - Phone
- (586) 917-2338
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-19
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 Michigan