| Ms Lisa Marie Boucher, PA-C | |
|
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
| (734) 246-6000 | |
| Not Available |
| Full Name | Ms Lisa Marie Boucher |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2333 Biddle Ave, Wyandotte, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679709463 | NPI | - | NPPES |
| 0H28864 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005490 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Marie Boucher, PA-C 1640 Fort St, Suite D Attne Denise, Trenton, MI 48183-2040 Ph: (734) 391-3057 | Ms Lisa Marie Boucher, PA-C 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 246-6000 |
Marissa Gabrielle Drogheo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Mr. Ibrahim Hussein Dabaja, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1768 Ford Ave, Wyandotte, MI 48192 Phone: 313-377-5758 Fax: 734-574-6060 | |
Alyssa Christie, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 735-246-6000 | |
Kayla Gacioch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Biddle Ave Ste 100, Wyandotte, MI 48192 Phone: 734-246-5705 | |
Vanessa Varma, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2025 Ford Ave, Ste. 100, Wyandotte, MI 48192 Phone: 586-612-3556 | |
Alexis Alicia Hernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2070 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Nancy M Campbell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 313-284-9400 |