Edmund C Boese MD

NPI 1063433761 - Anesthesiology - 207L00000X

NPI Details
NPI 1063433761
Gender Male
Enumeration Date 07/21/2006
Last Updated 03/11/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 COLLEGE DR
ROCK SPRINGS WY, 82901-5868, US
Phone (307) 362-3711
Fax
Business Location
255 W MICHIGAN AVE
JACKSON MI, 49201-2218, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 207L00000X
License State Wyoming
License Number 5087A
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According to our database, Edmund C Boese MD NPI is 1063433761, taxonomy code is 207L00000X and license number is 5087A, license state is located at Wyoming. Edmund C Boese MD physically located at 1200 College Dr, Rock Springs WY, 82901-5868. NPI Number Edmund C Boese MD has the Individual type.

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1063433761 NPI number is provided on an as is basis without warranty of any kind. 1063433761 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund C Boese MD are for informational purposes only.