Individual provider · Type 1 NPI

Stephanie Nicole Boldt, MD

Student in an Organized Health Care Education/Training Program · Flint, MI

NPI number 1619660404 Active

Practice location

401 S Ballenger Hwy Ofc 7N
Flint, MI 48532-3638

Call (810) 342-2000 Map

Fax (810) 342-3659

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351050859 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619660404

Stephanie Nicole Boldt, MD's National Provider Identifier is 1619660404, issued on May 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flint, MI. The record was last updated on Jun 2, 2023.