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Individual

DEANNA BOOK BOESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6601 SW 9TH ST STE 2, DES MOINES, IA 50315-6138
(515) 643-9030
(515) 643-9031
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9030
(515) 643-9031

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
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