Individual
DR. ERIC DAVID BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
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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