Individual
NICOLE SUZANNE BOERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
718 N LINCOLN ST, GREENSBURG, IN 47240-1348
(812) 662-0588
(812) 663-1155
Mailing address
718 N LINCOLN ST, GREENSBURG, IN 47240-1348
(812) 662-0588
(812) 663-1155
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01062609A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889340
—
IN
01
—
P01447581
RAILROAD MEDICARE
IN
Enumeration date
04/18/2007
Last updated
03/07/2016
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