Individual
PAUL DANIEL BOEREMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Mailing address
2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
48313
TN
Other
Enumeration date
05/06/2009
Last updated
05/31/2022
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