Individual provider · Type 1 NPI
Mark A. Boomershine, PA
Medical Physician Assistant · East Lansing, MI
NPI number
1164617122
Active
Practice location
3496 E Lake Lansing Rd, Suite 100
East Lansing, MI 48823-2288
Fax (517) 333-4306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601001393 (MI) |
Medical Physician Assistant: Definition to come...
22 other providers at this address
- Kelly and Garcia PLLCGeneral Practice Physician East Lansing, MI NPI 1760423636
- Mesohealth, PCGeneral Practice Physician East Lansing, MI NPI 1407880024
- Darrell Lynn BradyInternal Medicine Physician East Lansing, MI NPI 1285829341
- Debra Gail Lange, APRN-BCAdult Health Nurse Practitioner East Lansing, MI NPI 1720009210
- Diana Marble, NPFamily Nurse Practitioner East Lansing, MI NPI 1508036856
- Eddie James Jenkins, MDInternal Medicine Physician East Lansing, MI NPI 1316132194
- Graham M. Kelly, DOFamily Medicine Physician East Lansing, MI NPI 1477530269
- Judith E. Daoust, MS, PACMedical Physician Assistant East Lansing, MI NPI 1558508283
- Kaitlin Nicolle Hamann, LMSWClinical Social Worker East Lansing, MI NPI 1285264366
- Karen TorskyPhysician Assistant East Lansing, MI NPI 1326252727
- Keith Wesley Ivens, MDSurgery Physician East Lansing, MI NPI 1932240421
- Kimberly Garcia, PA-CPhysician Assistant East Lansing, MI NPI 1063685550
Other medical physician assistant providers in East Lansing
- Mary Elizabeth Turner, PA-CMedical Physician Assistant East Lansing, MI NPI 1053402446
- Michael C. Kennerly, PA-CMedical Physician Assistant East Lansing, MI NPI 1326286675
- Amy L. Heeschen, PACMedical Physician Assistant East Lansing, MI NPI 1336172618
- Sara M. Wilchowski, PA-CMedical Physician Assistant East Lansing, MI NPI 1508127952
- Kathleen A. Flannery, PAMedical Physician Assistant East Lansing, MI NPI 1528013489
- Deborah L. Reid, PA-CMedical Physician Assistant East Lansing, MI NPI 1558318840
- Judith E. Daoust, MS, PACMedical Physician Assistant East Lansing, MI NPI 1558508283
- Jordan L. Olesnavich, PA-CMedical Physician Assistant East Lansing, MI NPI 1619370160
About NPI 1164617122
Mark A. Boomershine, PA's National Provider Identifier is 1164617122, issued on Sep 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Lansing, MI. The record was last updated on Mar 7, 2023.