| Boardman Family Practice Pllc | |
|
4713 Pine St Sw South Boardman MI 49680-9761 | |
| (231) 518-0189 | |
| (231) 518-0188 |
| Full Name | Boardman Family Practice Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4713 Pine St Sw, South Boardman, Michigan |
| Authorized Official Name and Position | Todd Kreykes (OWNER) |
| Authorized Official Contact | 2316241054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boardman Family Practice Pllc 4713 Pine St Sw South Boardman MI 49680-9761 Ph: (231) 518-0189 | Boardman Family Practice Pllc 4713 Pine St Sw South Boardman MI 49680-9761 Ph: (231) 518-0189 |
| NPI Number | 1740564681 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740564681 | NPI | - | NPPES |
Boardman Health And Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 Pine St Sw, South Boardman, MI 49680 Phone: 231-369-2656 Fax: 231-369-2657 |