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Individual

DR. BRADLEY ALLEN BOEHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1065 US 23 NORTH, ALPENA, MI 49707
(989) 354-0607
(989) 356-6710
Mailing address
1065 US HIGHWAY 23 N, ALPENA, MI 49707-1259
(989) 354-0607
(989) 356-6710

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BB012930
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3438729
MI
Enumeration date
04/13/2006
Last updated
10/02/2025
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