Individual
MS. JANE ANN BOERTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7382
Mailing address
6649 PINNOCK, ORCHARD LAKE, MI 48324-2862
(248) 363-7860
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601002065
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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