Individual
FREDERICK J BOEHM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22871
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30338200
—
WI
Enumeration date
01/11/2007
Last updated
05/29/2008
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