Individual
DR. CYNTHIA ROSE BOSCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4951
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4951
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301074003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4328893
MOLINA HEALTHCARE
MI
05
—
4328893
—
MI
Enumeration date
12/15/2006
Last updated
07/08/2007
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