SearchMichigan172V00000X

Eddie Boles

NPI 1922796515 · on the registry since 2023

Practice

Address
35425 W Michigan Ave
Wayne, MI 48184
Phone
(734) 460-5242
Organisation at this address
Community Living Services, Inc.
Community Living Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
308

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Male
Record last updated
2023-07-27

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