| 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 |
Holland Hospital Family Medicine - Douglas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Wiley Rd Ste 102, Douglas, MI 49406 Phone: 269-857-3208 Fax: 269-857-3222 |