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

Dr. Marwan Boulis, MD

Individual provider Otolaryngology Physician · NPI 1861981763

Dr. Marwan Boulis, MD is an Otolaryngology in Waterford, Michigan. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with ENT Care of Michigan PLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2018
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

5220 Highland Rd Ste 230
Waterford, MI 48327-1973
Phone: (248) 254-8900
Fax: (248) 599-7191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4301509067 (MI)

Record details

NPI number1861981763
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESJuly 18, 2024
Certification dateFebruary 24, 2023

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ent Care Of Michigan Plc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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