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 |
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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 |
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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 |
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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 |