Individual provider · Type 1 NPI
Paul Daniel Boerema, MD
Adult Medicine Physician · Cleveland, TN
NPI number
1396979233
Active
Practice location
2700 Westside Dr NW, Suite 103
Cleveland, TN 37312-3699
Fax (423) 479-9202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 48313 (TN) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1396979233
Paul Daniel Boerema, MD's National Provider Identifier is 1396979233, issued on May 6, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Cleveland, TN. The record was last updated on May 31, 2022.