Individual
DR. STEVEN ALLEN BOSKOVICH
Active
Individual
DR. STEVEN ALLEN BOSKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
SB053937
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
SB053937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N9614001
MEDICARE PTAN INDIVIDUAL
MI
01
—
1802518111
HEALTH PLUS
—
05
—
2942116
—
MI
01
—
C2759
M-CARE
—
Enumeration date
03/14/2006
Last updated
11/24/2020
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