Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alison Tisack Boucher, MD

Individual provider Dermatology Physician · NPI 1174887707

Dr. Alison Tisack Boucher, MD is a Dermatology in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2012, 14 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
14
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3031 W Grand Blvd
Detroit, MI 48202-3046
Phone: (313) 916-2151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 4301101370 (MI)

Record details

NPI number1174887707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2012
Last updated in NPPESFebruary 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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