Organization · Type 2 NPI
Boardman Family Practice PLLC
Rural Health Clinic/Center · South Boardman, MI
NPI number
1740564681
Active
Practice location
4713 Pine St SW
South Boardman, MI 49680-9761
Fax (231) 518-0188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013379 (MI) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Physician Assistant | 363A00000X | 5601002729 (MI) |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
- Boardman Health and Wellness, PLLCPhysician Assistant South Boardman, MI NPI 1063453363
- Boardman Health and Wellness, PLLCFamily Medicine Physician South Boardman, MI NPI 1437213667
- Thomas Keane Stetler, PA-CPhysician Assistant South Boardman, MI NPI 1164531794
- Todd M. Kreykes, PA.CPhysician Assistant South Boardman, MI NPI 1750366308
About NPI 1740564681
Boardman Family Practice PLLC's National Provider Identifier is 1740564681, issued on Oct 10, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in South Boardman, MI. The record was last updated on Mar 30, 2016.