Individual
VERA BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-7225
Mailing address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
(608) 755-7873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
76507-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
8257-851
WI
Other
Enumeration date
07/28/2020
Last updated
10/23/2023
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