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Individual
DR. ERIC DAVID BOEHMER
Active
Individual
DR. ERIC DAVID BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53427-020
WI
207Q00000X
Family Medicine Physician
Primary
75118
MN
207Q00000X
Family Medicine Physician
MD159670
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852480001
DMERC
WI
01
—
528513
UGS MEDICARE
WI
Enumeration date
07/13/2007
Last updated
09/18/2023
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