Wallace Dwayne Boeve in Minneapolis - Physician Assistant
Wallace Dwayne Boeve - NPI 1992724371
Wallace Dwayne Boeve is a Physician Assistant in Minneapolis, Minnesota. Wallace Dwayne Boeve practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wallace Dwayne Boeve is 1992724371. The last update date is 2018-11-15.
Wallace Dwayne Boeve's current location address is 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota. You can contact this provider via phone number 6514391234. The mailing address for Wallace Dwayne Boeve is 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Dwayne Boeve |
|---|---|
| Address | 8170 33rd Ave S # Ms 21110q, Minneapolis, Minnesota |
| Phone Number | 6514391234 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992724371 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2018-11-15 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S # Ms 21110q |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 6514391234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 11157 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique identifier code issued to Wallace Dwayne Boeve by the Centers for Medicare & Medicaid Services (CMS)?
The Wallace Dwayne Boeve has been assigned the NPI (National Provider Identifier) 1992724371. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Wallace Dwayne Boeve?
The Wallace Dwayne Boeve is physically situated at 8170 33Rd Ave S # Ms 21110Q, in the city of Minneapolis, state of MN, with the postal code 554254516.
When was the Wallace Dwayne Boeve's 1992724371 issued?
The Wallace Dwayne Boeve's 1992724371 was issued on 2006-07-18.
On what date did the Centers for Medicare & Medicaid Services issue the 1992724371 to Wallace Dwayne Boeve?
The Wallace Dwayne Boeve received its 1992724371 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the Wallace Dwayne Boeve's information last updated?
The Wallace Dwayne Boeve's information was last updated on 2018-11-15.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH