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Individual

DR. MICHAEL J. BOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
119 BROAD ST, WADSWORTH, OH 44281-1851
(330) 334-1534
(330) 334-1535
Mailing address
119 BROAD STREET, WADSWORTH, OH 44281-2286
(330) 334-1534
(330) 334-1535

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002426
OH
213EP1101X
Primary Podiatric Medicine Podiatrist
36002426
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0696751
OH
Enumeration date
08/10/2005
Last updated
05/02/2008
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