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

Michael Bolstad, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992646947

Michael Bolstad, MD is a Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026
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

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MA)

Record details

NPI number1992646947
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2026
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address55 Lake Ave N, Worcester, MA 01655-0002

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