| Boardman Health And Wellness, Pllc | |
|
4713 Pine St Sw South Boardman MI 49680-9761 | |
| (231) 369-2656 | |
| (231) 369-2657 |
| Full Name | Boardman Health And Wellness, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4713 Pine St Sw, South Boardman, Michigan |
| Authorized Official Name and Position | Thomas K Stetler (PRACTICE OWNER) |
| 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 South Boardman MI 49680-9761 Ph: (231) 369-2656 | Boardman Health And Wellness, Pllc 4713 Pine St Sw South Boardman MI 49680-9761 Ph: (231) 369-2656 |
| NPI Number | 1437213667 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437213667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301069428 (Michigan) | Primary |
Boardman Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 Pine St Sw, South Boardman, MI 49680 Phone: 231-518-0189 Fax: 231-518-0188 |