Individual
MRS. REBECCA ALYCE BOENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
9900 BIRCH RUN RD, BIRCH RUN, MI 48415-9609
(989) 624-1501
Mailing address
9900 BIRCH RUN RD, BIRCH RUN, MI 48415-9609
(989) 624-1501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704194205
MI
Other
Enumeration date
07/26/2005
Last updated
02/09/2012
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