Individual provider · Type 1 NPI

Alexa Boersen, PA-C

Surgical Physician Assistant · Minocqua, WI

NPI number 1568820199 Active

Practice location

9576 Hwy 70
Minocqua, WI 54548-9067

Mailing address

833 Michigan St NE Bldg 102
Grand Rapids, MI 49503-2578

Other practice locations

  • 9601 Townline Rd, Minocqua, WI 54548-9099 · (715) 358-1255
  • 833 Michigan St NE Bldg 102, Grand Rapids, MI 49503-2578 · (616) 459-8209

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4631 (WI)
Physician Assistant 363A00000X4631 (WI)
Physician Assistant 363A00000X5601007612 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1568820199

Alexa Boersen, PA-C's National Provider Identifier is 1568820199, issued on Feb 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Minocqua, WI. The record was last updated on Aug 18, 2026.