MICHAEL BOUSTANY, MD

Surgery

Active Individual
NPI: 1619973096

Practice Address

434 DIVISION ST
South Charleston, WV 25309

Phone: (304) 766-7140

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X No 10600 (WV)
Surgery 208600000X Yes 10600 (WV)

Frequently Asked Questions

NPI 1619973096 is the National Provider Identifier for MICHAEL BOUSTANY, MD, a Surgery provider located in South Charleston, WV. This NPI was enumerated on June 22, 2005.
MICHAEL BOUSTANY, MD practices at 434 DIVISION ST, South Charleston, WV 25309.

Quick Facts

NPI
1619973096
Type
Individual
Enumerated
Jun 22, 2005
Last Updated
Dec 22, 2021

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