Individual
DR. KARL ALBERT BOESENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2741 DEBARR RD, SUITE C-315, ANCHORAGE, AK 99508-2953
(907) 562-4958
(907) 562-5195
Mailing address
2741 DEBARR RD, SUITE C-315, ANCHORAGE, AK 99508-2953
(907) 562-4958
(907) 562-5195
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2164
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD2164
—
AK
Enumeration date
10/17/2006
Last updated
07/09/2007
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