Individual
JAN MICHAEL BOEHRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3701 S MAIN ST, ELKHART, IN 46517-3106
(574) 875-4433
Mailing address
3701 S MAIN ST, ELKHART, IN 46517-3106
(574) 875-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003379A
IN
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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