Individual
MARCUS A BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14128-24
WI
225100000X
Physical Therapist
8594
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083986
—
WI
Enumeration date
09/08/2017
Last updated
05/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us