Stuart William Boekeloo in Saint Joseph - General Practice
Stuart William Boekeloo - NPI 1356569602
Stuart William Boekeloo is a General Practice in Saint Joseph, Michigan. Stuart William Boekeloo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stuart William Boekeloo is 1356569602. The last update date is 2007-07-08.
Stuart William Boekeloo's current location address is 2525 S Cleveland Ave, Saint Joseph, Michigan. You can contact this provider via phone number 2694296101 and fax number 2694297029. The mailing address for Stuart William Boekeloo is 2525 S Cleveland Ave, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stuart William Boekeloo |
|---|---|
| Address | 2525 S Cleveland Ave, Saint Joseph, Michigan |
| Phone Number | 2694296101 |
| Fax Number | 2694297029 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1356569602 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2525 S Cleveland Ave |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490852609 |
| Phone Number | 2694296101 |
| Fax Number | 2694297029 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14693 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14693 | MI | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Stuart William Boekeloo's unique identification number?
The Stuart William Boekeloo has been assigned the NPI (National Provider Identifier) Number 1356569602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Stuart William Boekeloo is geographically located?
The Stuart William Boekeloo is physically situated at the following location: 2525 S Cleveland Ave, Saint Joseph, MI, 490852609.
What is Stuart William Boekeloo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stuart William Boekeloo is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When was the Stuart William Boekeloo's 1356569602 issued?
The Stuart William Boekeloo's 1356569602 was issued on 2007-04-23.
When was the information pertaining to Stuart William Boekeloo most recently updated or revised?
The details related to Stuart William Boekeloo, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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