Individual provider · NPI-1

Tamer Nady Boules, M.D.

· Southfield, MI

NPI number1679525539
StatusActive
Last updated in NPPESDec 20, 2022

Details

NPI
1679525539
Entity type
Individual (NPI-1)
Name
Tamer Nady Boules
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 17, 2006
Certification date
Dec 20, 2022
Last updated
Dec 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 4301072188MIYes
208600000X Surgery4301072188MI

Practice location

22250 Providence Dr
Suite 555
Southfield, MI 48075-4825

Phone 248-424-5748 · Fax 248-443-1706

Mailing address

22250 Providence Dr
Suite 555
Southfield, MI 48075-4825

Phone 248-424-5748 · Fax 248-443-1706

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