| Nicholas Boggs Do Pllc | |
|
313 Stewart Rd Monroe MI 48162-4393 | |
| (734) 535-8220 | |
| (734) 535-8119 |
| Full Name | Nicholas Boggs Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 313 Stewart Rd, Monroe, Michigan |
| Authorized Official Name and Position | Nicholas E Boggs (OWNER/PROVIDER) |
| Authorized Official Contact | 7345358220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Boggs Do Pllc 313 Stewart Rd Monroe MI 48162-4393 Ph: (734) 535-8220 | Nicholas Boggs Do Pllc 313 Stewart Rd Monroe MI 48162-4393 Ph: (734) 535-8220 |
| NPI Number | 1447028782 |
|---|---|
| Provider Enumeration Date | 12/15/2023 |
| Last Update Date | 06/30/2025 |
| Medicare PECOS PAC ID | 1658717780 |
|---|---|
| Medicare Enrollment ID | O20240312002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447028782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas E Boggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043523954 PECOS PAC ID: 2264667450 Enrollment ID: I20131023002085 |
| Provider Name | Amanda Therese Wuebben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871097212 PECOS PAC ID: 1557626470 Enrollment ID: I20180524001510 |
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