Julie Lynn Boag PAC

NPI 1326145236 - Physician Assistant - 363A00000X

NPI Details
NPI 1326145236
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14555 LEVAN RD
STE 410
LIVONIA MI, 48154-5085, US
Phone (734) 462-9499
Fax (734) 462-4124
Business Location
14555 LEVAN RD
STE 410
LIVONIA MI, 48154-5085, US
Phone (734) 462-9499
Fax (734) 462-4124
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002907
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According to our database, Mrs. Julie Lynn Boag PAC NPI is 1326145236, taxonomy code is 363A00000X and license number is 5601002907, license state is located at Michigan. Julie Lynn Boag PAC physically located at 14555 Levan Rd, Livonia MI, 48154-5085. NPI Number Julie Lynn Boag PAC has the Individual type.

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1326145236 NPI number is provided on an as is basis without warranty of any kind. 1326145236 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Lynn Boag PAC are for informational purposes only.