Individual
DR. MARK EDWARD BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4744
(318) 329-4719
Mailing address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4744
(318) 329-4719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.021951
LA
208M00000X
Hospitalist Physician
Primary
MD.021951
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689483
—
LA
Enumeration date
01/14/2009
Last updated
07/31/2013
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