Individual
DENNIS BOYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 COOPER AVE, SUITE 4400, SAGINAW, MI 48602-5182
(989) 583-4401
(989) 583-4409
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4401
(989) 583-4409
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301038980
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020011145
RAIL ROAD MEDICARE
MI
01
—
0200212
HEALTHPLUS OF MICHIGAN
MI
01
—
020G361410
BCBSM
MI
01
—
0730021
BCBSM
MI
01
—
1012201
MCLAREN
MI
01
—
120434
GREAT LAKES HEALTH PLAN
MI
05
—
1235156175
—
MI
01
—
381870664
COMM
MI
01
—
381870664122
COMMUNITY CHOICE MICHIGAN
MI
01
—
DB038980
LICENSE
MI
Enumeration date
07/16/2006
Last updated
08/18/2014
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