Individual
ALICE M BOSHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
229 S MORRISON ST, APPLETON, WI 54911-5725
(920) 832-2783
Mailing address
229 S MORRISON ST, APPLETON, WI 54911-5725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63001-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
07/11/2016
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