Jane Ann Boertman in Detroit - Surgical

Jane Ann Boertman - NPI 1780732834

Jane Ann Boertman is a Surgical in Detroit, Michigan. Jane Ann Boertman practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jane Ann Boertman is 1780732834. The last update date is 2007-07-08.

Jane Ann Boertman's current location address is 22101 Moross Rd, Detroit, Michigan. You can contact this provider via phone number 3133437382. The mailing address for Jane Ann Boertman is 22101 Moross Rd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jane Ann Boertman
Address 22101 Moross Rd, Detroit, Michigan
Phone Number 3133437382
Fax Number
Sole Proprietor Y
Credentials PAC

NPI Number Detail

NPI Number 1780732834
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22101 Moross Rd
City Detroit
State Michigan (MI)
Post Code 482362148
Phone Number 3133437382
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 5601002065
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Jane Ann Boertman

What is the unique provider identifier assigned to Jane Ann Boertman?

The Jane Ann Boertman has been issued the NPI (National Provider Identifier) 1780732834 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jane Ann Boertman?

The Jane Ann Boertman is situated at 22101 Moross Rd, in the city of Detroit, state of MI, with the zip code 482362148.

What is Jane Ann Boertman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jane Ann Boertman's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780732834 to Jane Ann Boertman?

The Centers for Medicare & Medicaid Services originally issued the 1780732834 to Jane Ann Boertman on 2007-01-08.

As of what date were the details related to Jane Ann Boertman most recently updated or revised?

The information pertaining to Jane Ann Boertman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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