Bolz, Norman Alexander

Bolz, Norman Alexander is an sole proprietor health care provider with primary practice located at 19229 Mack Ave Suite 34, Grosse Pointe MI 48236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bolz, Norman Alexander can be contacted via phone (313) 343-0209.

Contact Information

Primary practice address
19229 Mack Ave Suite 34 Grosse Pointe MI 48236
Phone: (313) 343-0209
Fax: (313) 343-0427
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X NB039815 Michigan

Profile Details

NPI number 1386671691
LBN Legal business name Bolz, Norman Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Feb 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386671691 NPPES
Michigan MEDICAID 2120204

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