| Boardman Health And Wellness, Pllc | |
|
4713 Pine St Sw S Boardman MI 49680-9761 | |
| (231) 369-2656 | |
| Not Available |
| Full Name | Boardman Health And Wellness, Pllc |
|---|---|
| Speciality | Physician Assistant |
| Location | 4713 Pine St Sw, S Boardman, Michigan |
| Authorized Official Name and Position | Thomas Keane Stetler (OFFICER) |
| Authorized Official Contact | 2313692656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boardman Health And Wellness, Pllc 4713 Pine St Sw S Boardman MI 49680-9761 Ph: (231) 369-2656 | Boardman Health And Wellness, Pllc 4713 Pine St Sw S Boardman MI 49680-9761 Ph: (231) 369-2656 |
| NPI Number | 1063453363 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063453363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301069428 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601003799 (Michigan) | Primary |