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Contact Information

TAMER N BOULES, MD
22250 PROVIDENCE DR
SUITE 555
SOUTHFIELD, MI48075-4825
 Phone: 248-424-5748
 Fax: 248-443-1706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TAMER N BOULES · (Male)

NPI # 1679525539
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 12/20/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301072188
  • MI Medicaid 4870974
  • MI Other 0P33080 PTAN
Hospital affiliation(s)
  • PROVIDENCE HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    16001 W NINE MILE RD
    SOUTHFIELD, MI 48075
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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