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Search › Wisconsin › 363AS0400X

Darayu Boltaeva, DMS, PA-C

NPI 1912714692 · on the registry since 2024 · sole proprietor

Practice

Address
1000 N Oak Ave
Marshfield, WI 54449
Phone
(800) 782-8581
Organisation at this address
Marshfield Clinic
Marshfield Clinic
Marshfield Clinic
Marshfield Clinic
Mchs Hospitals Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,005

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-01

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