Individual provider · Type 1 NPI
Wessam Boutros Bou-Assaly
Diagnostic Radiology Physician · Ann Arbor, MI
NPI number
1851581540
Active
Practice location
2155 Fuller Rd, Radiology Department/ Va Health Center
Ann Arbor, MI 48105
Mailing address
9155 Mirage Lake Dr
Milan, MI 48160-9010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | M41968 (TX) |
| Neuroradiology Physician | 2085N0700X | 4301089243 (MI) |
| Diagnostic Radiology Physician | 2085R0202X | 4301089243 (MI) |
| Specialist | 174400000X | 4301089243 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1851581540
Wessam Boutros Bou-Assaly's National Provider Identifier is 1851581540, issued on Jul 28, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 1, 2025.