Individual
DEANNA BOOK BOESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-25601
IA
2084P0804X
Child & Adolescent Psychiatry Physician
MD-25601
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07281
WELLMARK
—
Enumeration date
05/18/2007
Last updated
08/26/2019
Update your record
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