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Marianna Boulter

NPI 1407439854 · on the registry since 2021

Practice

Address
236 W South St
Hastings, MI 49058
Phone
(734) 657-9987

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan