Individual
DR. NICHOLAS MICHAEL BOEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1995 MAIN ST, GREEN BAY, WI 54302-3920
(920) 465-6210
Mailing address
1995 MAIN ST, GREEN BAY, WI 54302-3920
(920) 465-6210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19583-40
WI
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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