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Individual

FRITZ R BOEHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
50 FILER ST, SUITE 216, MANISTEE, MI 49660-2726
(231) 723-2221
(231) 723-5078
Mailing address
50 FILER ST, SUITE 216, MANISTEE, MI 49660-2726
(231) 723-2221
(231) 723-5078

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002247
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350043305
RAILROAD MEDICARE
MI
01
950E150040
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/13/2005
Last updated
02/24/2010
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