Individual
MR. TODD D BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1550
(810) 966-3104
Mailing address
3701 CROSWELL RD, CROSWELL, MI 48422-9398
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704211632
MI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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