Individual
MS. LIANA ELIZABETH BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20311 MACK AVE, GROSSE POINTE WOODS, MI 48236-1784
(586) 604-1537
Mailing address
20311 MACK AVE, GROSSE POINTE WOODS, MI 48236-1784
(586) 604-1537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005210
IL
363A00000X
Physician Assistant
Primary
5601007811
MI
Other
Enumeration date
11/04/2014
Last updated
02/25/2021
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