Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALISON TISACK BOUCHER, M.D.
ActiveDR. ALISON TISACK BOUCHER, M.D. is a Dermatology healthcare provider located in DETROIT, Michigan. NPI 1174887707 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DETROIT, MI
Registration Details
- NPI Number
- 1174887707
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2012 (14.146956283128 yrs)
- Last Updated
- Feb 24, 2019
- License
-
4301101370 (MI)
Practice Information
- Address
-
3031 W GRAND BLVDDETROIT, MI, 482023046Browse MI providers · Browse ZIP 48202
- Phone
- 3139162151
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| RAECHELE C. GATHERS | M.D. | 1285693804 |
| KAREN ANN HEIDELBERG | M.D. | 1467406439 |
| S JEAN KEGLER | MD | 1669419750 |
| DR. TINA PICKETT BAISDEN | MD | 1396753810 |
| JAMES A BROWN | MD | 1083711725 |
| DR. HOLLY ANITA KERR | M.D. | 1376751784 |
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.