Individual
DR. COLIN DURAND BOETTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2400
Mailing address
7683 BADGER RUN CT, VERONA, WI 53593-9031
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301119053
MI
207L00000X
Anesthesiology Physician
Primary
73570-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447646484
—
WI
Enumeration date
04/07/2015
Last updated
03/03/2026
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