Search › Wisconsin › 101YM0800X
Brian Boomgarden, MS CADC
NPI 1871510677 · on the registry since 2006
Practice
- Address
- 339 Reed Ave
Manitowoc, WI 54220 - Phone
- (920) 320-8600
- Fax
- (920) 320-8662
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-06-03
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 Wisconsin