Individual provider · Type 1 NPI

Jane Ann Boertman, PAC

Surgical Physician Assistant · Detroit, MI

NPI number 1780732834 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

6649 Pinnock
Orchard Lake, MI 48324-2862

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601002065 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1780732834

Jane Ann Boertman, PAC's National Provider Identifier is 1780732834, issued on Jan 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.