Individual
MR. BRIAN DAVID BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
(507) 532-0240
Mailing address
510 W MARSHALL ST, MARSHALL, MN 56258-1321
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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