IndividualActive
Jose Bouffard, M.D.
NPI 1043388788 · Nuclear Imaging & Therapy Physician · Detroit, MI
Provider details
- NPI number
- 1043388788
- Entity type
- Individual
- Primary specialty
- Nuclear Imaging & Therapy PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301044748 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
261 Mack Ave
Room 215
Detroit, MI 48201-2417
Phone: (313) 966-2539
Fax: (313) 993-2630
Approximate (ZIP-level) locationGet directions
Mailing address
261 Mack Ave
Detroit, MI 48201-2417
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2014-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.