Individual
MICHAEL BOERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, HAD
Contact information
Practice address
16 E FERN AVE STE C, REDLANDS, CA 92373-4000
(909) 792-0074
Mailing address
16 E FERN AVE STE C, REDLANDS, CA 92373-4000
(909) 792-0074
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14549148
CAQH
—
Enumeration date
04/17/2019
Last updated
10/08/2019
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