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Individual

MICHELE F BOEHMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
3273-29
WI
133V00000X
Registered Dietitian
Primary
832661
MI

Other

Enumeration date
09/20/2010
Last updated
05/17/2019
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