Individual provider · Type 1 NPI

Beau Boedecker, PA-C

Physician Assistant · Milwaukee, WI

NPI number 1093012734 Active

Practice location

2801 W Kinnickinnic River Pkwy Ste 550
Milwaukee, WI 53215-3696

Call (414) 385-7150 Map

Fax (414) 385-7159

Mailing address

6250 Thornridge Ln
Greendale, WI 53129-2651

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2701-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093012734

Beau Boedecker, PA-C's National Provider Identifier is 1093012734, issued on Feb 15, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 3, 2022.