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Michael Bolan

NPI 1609379726 · on the registry since 2018

Practice

Address
4076 Neely Road
Fort Wainwright, AK 99709
Phone
(907) 361-5109
Organisation at this address
Bassett Army Community Hospital/Public Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
74

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-15

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 Alaska