SearchMichigan103TC0700X

William Boom

NPI 1952427544 · on the registry since 2007

Practice

Address
3252 University Dr Ste 140
Auburn Hills, MI 48326
Phone
(667) 289-6579
Clinicians at this address
3

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-01

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