| 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 |
| Location | 5220 Highland Rd Ste 230, Waterford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861981763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 4301509067 (Michigan) | Primary |
| 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: Medicare Enrolled 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 |