Search › Michigan › 363AM0700X
David Boedeker, PA-C
NPI 1508311085 · on the registry since 2016
Practice
- Address
- 2815 S. Pennsylvania Ave
Suite 204
Lansing, MI 48910 - Phone
- (517) 267-0200
- Fax
- (517) 267-1877
- Organisation at this address
- Moc Trauma, Pc
Jason Cochran Do Pc
Daniel R Mesko Do Pc
J Wesley Mesko Md Pc
Urvish K Shah, Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- MI, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan