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Organization

ADVANCED WOMENS HEALTHCARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL BOEDER MD (PHYSICIAN/OWNER)
(920) 748-0550
Entity
Organization

Contact information

Practice address
933 NEWBURY ST, SUITE 102, RIPON, WI 54971-1730
(920) 748-0550
(920) 748-0555
Mailing address
933 NEWBURY ST, SUITE 102, RIPON, WI 54971-1730
(920) 748-0550
(920) 748-0555

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
31521-020
WI

Other

Enumeration date
08/10/2007
Last updated
12/31/2007
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