Individual
DR. PETER VINCENT BOESEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 73RD ST, SUITE 18, WINDSOR HEIGHTS, IA 50311-1321
(515) 267-0691
(515) 267-0790
Mailing address
1000 73RD ST, SUITE 18, WINDSOR HEIGHTS, IA 50311-1321
(515) 267-0691
(515) 267-0790
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
26113
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058156
—
IA
Enumeration date
07/12/2005
Last updated
07/08/2007
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