Individual
ROBERT J BOEREMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, ANN ARBOR, MI 48109-0048
(734) 936-4280
Mailing address
3621 S STATE ST 700 KMS PLACE, ATTN ELLEN KAYFES, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704178483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2763311
—
MI
Enumeration date
07/17/2006
Last updated
07/08/2007
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