Individual provider · Type 1 NPI

Alison Tisack Boucher, MD

Dermatology Physician · Detroit, MI

NPI number 1174887707 Active

Practice location

3031 W Grand Blvd
Detroit, MI 48202-3046

Call (313) 916-2151 Map

Mailing address

606 N Gainsborough Ave
Royal Oak, MI 48067-1939

Other practice locations

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 · (313) 436-2577

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X4301101370 (MI)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1174887707

Alison Tisack Boucher, MD's National Provider Identifier is 1174887707, issued on Jun 28, 2012. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 24, 2019.