Individual
MRS. ANN MARIE BOESKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50505 SCHOENHERR RD STE 320, SHELBY TOWNSHIP, MI 48315-3141
(586) 580-3062
Mailing address
50505 SCHOENHERR RD STE 320, SHELBY TOWNSHIP, MI 48315-3141
(586) 580-3062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609004753
—
MI
Enumeration date
06/28/2009
Last updated
06/16/2020
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