| Nicole Boxer, Md, Pc | |
| 
					2993 Blue Star Hwy Suite 102 Douglas MI 49406  | |
| (269) 857-2700 | |
| (269) 857-6164 | 
| Full Name | Nicole Boxer, Md, Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2993 Blue Star Hwy, Douglas, Michigan | 
| Authorized Official Name and Position | Nicole Boxer (PRESIDENT) | 
| Authorized Official Contact | 2698572700 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole Boxer, Md, Pc Po Box 2620 Douglas MI 49406-2620 Ph: (269) 857-2700  | Nicole Boxer, Md, Pc 2993 Blue Star Hwy Suite 102 Douglas MI 49406 Ph: (269) 857-2700  | 
| NPI Number | 1629185459 | 
|---|---|
| Provider Enumeration Date | 08/25/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629185459 | NPI | - | NPPES | 
| 45306050 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301076142 (Michigan) | Primary |