| Ricky Boldman, | |
|
461 W Huron St, Suite 207, Pontiac, MI 48341-1601 | |
| (248) 857-7160 | |
| Not Available |
| Full Name | Ricky Boldman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 461 W Huron St, Pontiac, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437126323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601001019 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ricky Boldman, 461 W Huron St, Suite 207, Pontiac, MI 48341-1601 Ph: (248) 857-7160 | Ricky Boldman, 461 W Huron St, Suite 207, Pontiac, MI 48341-1601 Ph: (248) 857-7160 |
Kathleen Korneli-gradowski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 461 W Huron St, Nomc Family Practice Center, Pontiac, MI 48341 Phone: 248-857-7160 Fax: 248-857-7141 | |
Mr. Jonathon Andrew Ottolini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Prazene Savaya, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Lauren Marie Gasso, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6656 | |
James A Atkinson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-758-7000 | |
Stephen Vincent Buffa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 461 W Huron St # 107, Pontiac, MI 48341 Phone: 248-724-7600 | |
Sally Jajou, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-849-3485 |