Individual
MRS. TEDRA BOEDIGHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2850 S INDUSTRIAL HWY, SUITE 75, ANN ARBOR, MI 48104-6796
(734) 477-7204
Mailing address
31540 HENNEPIN ST, GARDEN CITY, MI 48135-1478
(734) 261-2854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704243625
MI
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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