Individual
DOROTHY C BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 926-1507
(317) 926-1508
Mailing address
401 E 34TH ST, INDIANAPOLIS, IN 46205-3754
(317) 926-1507
(317) 926-1508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028107
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216190
—
IN
01
—
46698002
MEDICARE
—
Enumeration date
07/21/2006
Last updated
10/24/2016
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