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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICKY BOLDMAN

Active

RICKY BOLDMAN is a Physician Assistant healthcare provider located in PONTIAC, Michigan. NPI 1437126323 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PONTIAC, MI

Registration Details

NPI Number
1437126323
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2006 (20.441129579245 yrs)
Last Updated
Jul 16, 2007
License
5601001019 (MI)

Practice Information

Address
461 W HURON ST
SUITE 207
PONTIAC, MI, 483411601
Browse MI providers · Browse ZIP 48341
Phone
2488577160
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PONTIAC, MI

Name Credential NPI
MEGAN SCHOLL 1306814926
JON B MORRIS PAC 1538138151
ELIZABETH M LUKE P.A. 1942232103
BRIAN EYLER PA 1346313830
KATHLEEN KORNELI-GRADOWSKI PA 1033282520
JOHN R KUKSA P.A. 1497876791
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.