Brant Boekelman, ATC

NPI 1871852335 · on the registry since 2012 · sole proprietor

Practice

Address: 717 S State St
Fairmont, MN 56031
Phone: (507) 238-4949
Fax: (507) 238-3385
Organisation at this address: South
Joseph Klick
Reiter Dental Pa
Primary Specialists
Windom Area Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-05-03

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 Minnesota