Dr THOMAS RICHARD BOLTEN is a male medical professional, specializing in Oral Surgery. He graduated in 2014 from Wayne State University School Of Medicine.
MICHIGAN OMS PC
43900 GARFIELD RD
SUITE 103
CLINTON TOWNSHIP
MI
480381137
Tel: 5862289070
| Npi | 1053545707 |
| Pac Id | 6901821875 |
| Professional Enrollment Id | I20160909001025 |
| Last Name | BOLTEN |
| First Name | THOMAS |
| Middle Name | RICHARD |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialty 1 | MAXILLOFACIAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | MAXILLOFACIAL SURGERY |
| Organization Legal Name | MICHIGAN OMS PC |
| Group Practice Pac Id | 9739084559 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 43900 GARFIELD RD |
| Line 2 Street Address | SUITE 103 |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 480381137 |
| Phone Number | 5862289070 |
| Hospital Affiliation Ccn 1 | 230130 |
| Hospital Affiliation Lbn 1 | BEAUMONT HOSPITAL, ROYAL OAK |
| Hospital Affiliation Ccn 2 | 230029 |
| Hospital Affiliation Lbn 2 | ST JOSEPH MERCY OAKLAND |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.