Boucher, Alison Tisack
Boucher, Alison Tisack is an individual health care provider with primary practice located at 3031 W Grand Blvd , Detroit MI 48202-3046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Boucher, Alison Tisack can be contacted via phone (313) 916-2151.Contact Information
Primary practice address
3031 W Grand Blvd
Detroit MI 48202-3046
Phone: (313) 916-2151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301101370 | Michigan |
Profile Details
| NPI number | 1174887707 |
|---|---|
| LBN Legal business name | Boucher, Alison Tisack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2012 |
| Last updated | Feb 24th, 2019 - about 5 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.
Popular Providers
-
Ozog, David M.
3031 W Grand Blvd , Detroit MI 48202-3046 -
Huggins, Richard Harold
3031 W Grand Blvd Suite 800, Dermatology, Detroit MI 48202-3046 -
Desai, Snehal R
3031 W Grand Blvd Suite 800, Detroit MI 48202-3046 -
Woo, Denise
3031 W Grand Blvd Ste 800 , Detroit MI 48202-3141 -
Heidelberg, Karen Ann
20400 Livernois Ave , Detroit MI 48221-1348 -
Keimig, Emily L.
3031 W Grand Blvd Suite 800, Detroit MI 48202-3046 -
Carter-Snell, Brittany Dawn
72 Erskine Street , Detroit MI 48201-2702 -
Jahnke, Marla Nicole
3031 W Grand Blvd Ste 800 , Detroit MI 48202-3141