Robert R Boomer in Novi - Family Medicine

Robert R Boomer - NPI 1982672606

Robert R Boomer is a Family Medicine in Novi, Michigan. Robert R Boomer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Robert R Boomer is 1982672606. The last update date is 2011-08-05.

Robert R Boomer's current location address is 26850 Providence Pkwy, Novi, Michigan. You can contact this provider via phone number 2486624200 and fax number 2486620368. The mailing address for Robert R Boomer is 26850 Providence Pkwy, Novi, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert R Boomer
Address 26850 Providence Pkwy, Novi, Michigan
Phone Number 2486624200
Fax Number 2486620368
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1982672606
Provider Enumeration Date 2006-03-09
Last Updated Date 2011-08-05

Provider Mailing Address Detail

Address 26850 Providence Pkwy
City Novi
State Michigan (MI)
Post Code 483741213
Phone Number 2486624200
Fax Number 2486620368

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301046392
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4619335 MI --

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FAQs about Robert R Boomer

What is the Robert R Boomer's unique identification number?

The Robert R Boomer has been assigned the NPI (National Provider Identifier) Number 1982672606 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 location address where Robert R Boomer's facilities are situated?

The facilities of Robert R Boomer are physically located at the following address: 26850 Providence Pkwy, Novi, MI, 483741213.

What is the Robert R Boomer's area of specialization and corresponding taxonomy classification?

The Robert R Boomer's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the Robert R Boomer's 1982672606 issued?

The Robert R Boomer's 1982672606 was issued on 2006-03-09.

When was the information pertaining to Robert R Boomer most recently updated or revised?

The details related to Robert R Boomer, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-05.

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