Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN EARL BOODIN, M.D.
Active Sole ProprietorDR. STEPHEN EARL BOODIN, M.D. is a Neurological Surgery healthcare provider located in CLAWSON, Michigan. NPI 1093799702 is currently active in the NPPES registry. Verify at CMS.
Neurological Surgery · CLAWSON, MI
Registration Details
- NPI Number
- 1093799702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2005 (20.708554811322 yrs)
- Last Updated
- Mar 31, 2016
- License
-
032164 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
909 W MAPLE RDSUITE 104CLAWSON, MI, 480171000Browse MI providers · Browse ZIP 48017
- Phone
- 2482883200
- Fax
- 2482880530
- Primary Specialty
-
Neurological Surgery
207T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.