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

MONA S BOULOS, MD

Active

MONA S BOULOS, MD is a Pediatrics healthcare provider located in APPLETON, Wisconsin. NPI 1669466579 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · APPLETON, WI

Registration Details

NPI Number
1669466579
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2005 (20.933365707742 yrs)
Last Updated
Nov 30, 2011
License
24469 (WI)

Practice Information

Address
1506 S ONEIDA ST
APPLETON, WI, 549151305
Browse WI providers · Browse ZIP 54915
Phone
9207304950
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in APPLETON, WI

Name Credential NPI
CHRISTOFFER K BIRN MD 1790779601
STEPHEN J MARQUIS MD 1831183490
KURT A HEYRMAN MD 1518952001
JEREMY G GARDNER MD 1811982333
MARY E NORDSTROM MD 1578558391
KEVIN J HAYES D.O. 1831140326
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.