Individual
DR. KWASI O BOAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.E.
Contact information
Practice address
30 S HOWELL ST, HILLSDALE, MI 49242-1883
(517) 437-7800
(517) 437-7825
Mailing address
30 S HOWELL ST, HILLSDALE, MI 49242-1883
(517) 437-7800
(517) 437-7825
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
4301071567
MI
207R00000X
Internal Medicine Physician
4301071567
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301071567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420164
PHP
MI
01
—
10321
GLHP
MI
05
—
103452147
—
MI
01
—
1103000361
BLUE CROSS BLUE SHIELD OF
MI
01
—
23D0957778
CLIA#
MI
01
—
KB071567
PHYSICIAN LICENSE #
MI
01
—
P96983
BLUE CARE NETWORK
MI
Enumeration date
09/15/2005
Last updated
03/07/2023
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