Individual
MR. BRIAN DAVID BOERSMA
Active
Individual
MR. BRIAN DAVID BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11119
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02G32BO
BLUE CROSS BLUE SHIELD
MN
01
—
1016406
PREFERRED ONE
MN
01
—
114796
UCARE
MN
01
—
2063868
UNITED HEALTHCARE
MN
01
—
23267
SIOUX VALLEY HEALTH
MN
01
—
62-71293
MEDICA
MN
01
—
HP37849
HEALTH PARTNERS
MN
Enumeration date
08/13/2006
Last updated
07/08/2007
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