| Dr Marwan Boulis, MD | |
|
5220 Highland Rd Ste 230, Waterford, MI 48327-1973 | |
| (248) 254-8900 | |
| (248) 599-7191 |
| Full Name | Dr Marwan Boulis |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 8 Years |
| Location | 5220 Highland Rd Ste 230, Waterford, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861981763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301509067 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| St Joseph Mercy Oakland | Pontiac, MI | Hospital |
| Mclaren Oakland | Pontiac, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ent Care Of Michigan Plc | 2466827753 | 5 |
| Entity Name | Ent Care Of Michigan Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114632932 PECOS PAC ID: 2466827753 Enrollment ID: O20230419002237 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marwan Boulis, MD 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 | Dr Marwan Boulis, MD 5220 Highland Rd Ste 230, Waterford, MI 48327-1973 Ph: (248) 254-8900 |
Dr. Anthony Peter Di Ponio, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5220 Highland Rd Ste 230, Waterford, MI 48327 Phone: 248-254-8900 | |
Eric Fahed Succar, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5220 Highland Rd Ste 230, Waterford, MI 48327 Phone: 248-254-8900 Fax: 248-599-7191 | |
Thabet R Abbarah, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4000 Highland Rd, Suite 115, Waterford, MI 48328 Phone: 248-681-3555 Fax: 248-681-9809 |