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Individual

MRS. ANGELIQUE K BOERST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-A

Contact information

Practice address
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP A, ANN ARBOR, MI 48109-4227
(734) 936-5730
(734) 615-0544
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000054
MI
231H00000X
Audiologist
1601000054

Other

Enumeration date
09/03/2008
Last updated
11/20/2013
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