Individual
MR. DAVID ALDEN BOEDEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2815 S. PENNSYLVANIA AVE, SUITE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Mailing address
2815 S. PENNSYLVANIA AVE, SUITE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601008520
MI
363AM0700X
Medical Physician Assistant
Primary
PT696
WY
Other
Enumeration date
08/24/2016
Last updated
10/04/2021
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