Individual
ANNA MANION BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
809 E MICHIGAN AVE, GRAYLING, MI 49738-1417
(989) 348-0530
(989) 234-8327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301079969
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301079969
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301079969
MI
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
4301079969
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301079969
MI
Other
Enumeration date
03/26/2007
Last updated
10/13/2020
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