NPI 1730641648
Michael Jean Bourgeois, DO
Practice location
- Address
- 1638 Owen Dr, Fayetteville, NC 28304-3424
- Phone
- (910) 615-5095
- Mailing address
- 4180 Warrensville Center Rd Fl 5, Beachwood, OH 44122-7012
Registered specialties
Neuromusculoskeletal Medicine & OMM Physician
Primary
Registry record
- NPI
- 1730641648
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Apr 2019
- Record last updated
- 8 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.