Individual provider · Type 1 NPI

Cassidy Margaret Boensch, DO

Student in an Organized Health Care Education/Training Program · Traverse City, MI

NPI number 1609714674 Active

Practice location

1400 Medical Campus Dr
Traverse City, MI 49684-7823

Call (231) 935-8000 Map

Fax (231) 935-8099

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609714674

Cassidy Margaret Boensch, DO's National Provider Identifier is 1609714674, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Traverse City, MI. The record was last updated on Mar 23, 2026.