Boardman Family Practice Pllc, NPI 1740564681
Rural Health Clinic/Center in South Boardman, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1740564681
NPI Entity Type Organization
Provider Name Boardman Family Practice Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4713 Pine St Sw, South Boardman, MI, US
Provider Mailing Address 4713 Pine St Sw, South Boardman, MI, US, 496809761
Is Sole Proprietor? No
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Organization Official

Official Name PA Todd Kreykes
Official Position OWNER
Phone 231-624-1054

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

261QR1300X

Taxonomy Name Rural Health Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Boardman Family Practice Pllc
4713 Pine St Sw

South Boardman, MI, US

Phone: 231-518-0189
Fax: 231-518-0188

Mailing Address

Boardman Family Practice Pllc
4713 Pine St Sw
South Boardman, MI, US
ZIP 496809761
Phone: 231-518-0189
Fax: 231-518-0188

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

5101013379 MI No

363A00000X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

5601002729 MI No

Other Providers in MI, US

NPI Name Taxonomy Address

1659096923

Rafa Therapies

Organization

Rehabilitation Hospital Unit

4745 Michigan Ave

Detroit, MI

1649715194

Leah West

Individual

Family Nurse Practitioner

1 Genesys Pkwy

Grand Blanc, MI

1942923867

MRS. Dayna Calka

Individual

Mental Health Counselor

2399 E Walton Blvd

Auburn Hills, MI

1619225489

DR. PSYD, MPH Shervin Tehrani-rad

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1770990392

DR. PSYD Amreeta Gill

Individual

Clinical Psychologist

415 Main St Ste A

Saint Joseph, MI

1144940149

Mackenzie Louise Meredith

Individual

Family Nurse Practitioner

1402 W 14 Mile Rd

Clawson, MI

1881058709

DR. M.D., M.S. Marco Antonio Peterson JR.

Individual

Family Medicine Physician

1101 W University Dr

2 South

Rochester, MI

1053804146

PT Esther Karunakar

Individual

Physical Therapist

6711 Westpointe Dr

Troy, MI

1033179189

MD Sailaja Yadavalli

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1205896263

MD Jeffery Wong

Individual

Diagnostic Radiology Physician

44201 Dequindre

Troy, MI

1639371859

MRS. P.A.-C Sarah Zukowski Wilhelm

Individual

Physician Assistant

3601 W 13 Mile Rd

Royal Oak, MI

1164482253

MD Bridget Wiater

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

400 Fsc-pcs

Royal Oak, MI

1699735696

MD Robert Weinfeld

Individual

Diagnostic Radiology Physician

44201 Dequindre Rd

Troy, MI

1164482139

M.D. Ann E Swinford

Individual

Diagnostic Radiology Physician

3601 W 13 Mile Rd

Royal Oak, MI

1215568928

Lindsay Essig

Individual

Behavioral Analyst

1913 Cambridge Dr

Kalamazoo, MI

1821453663

LPC Jonathan Hart

Individual

Professional Counselor

52188 Van Dyke Ave Ste 300

Shelby Township, MI

1952958894

DDS, MS Suhaib Alqawasmeh

Individual

General Practice Dentistry

30090 23 Mile Rd

Chesterfield, MI

1205454402

Alexis K Willmore

Individual

Physician Assistant

3950 Hollywood Rd Ste 280

Saint Joseph, MI

1841221108

DR. DO, MPH Jimmy Wayne Brandon

Individual

Preventive Medicine/Occupational Environmental Medicine Physician

G-3100 Van Slyke Road

General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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