person
Mr. Mark A Boomershine, PA
Medical Physician Assistant in East Lansing, Michigan
NPI 1164617122

Mark A Boomershine is a Medical Physician Assistant based in East Lansing, MI and is specialized in Medical. Mark A Boomershine practices in East Lansing, MI and has the professional credentials of PA. The NPI Number for Mark A Boomershine is 1164617122 and holds a License No. 5601001393 (Michigan).

The current practice location address for Mark A Boomershine is 3496 E Lake Lansing Rd, East Lansing, MI and can be reached out via phone at 517-333-0968 and via fax at 517-333-4306.

Location: 3496 E Lake Lansing Rd, East Lansing, MI, 48823-2288
person
Provider Profile Details
NPI Number
1164617122
Provider Name
Mark A Boomershine
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3496 E Lake Lansing Rd, East Lansing, MI, 48823-2288
Phone Number
517-333-0968
Fax Number
517-333-4306
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3496 E Lake Lansing Rd
City
State
Zip
48823-2288
Phone Number
517-333-0968
Fax Number
517-333-4306
person
Provider Business Mailing Address Details
Address
3496 E Lake Lansing Rd
City
State
Zip
48823-2288
Phone Number
517-333-0968
Fax Number
517-333-4306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001393 (Michigan)
Definition
Definition to come...
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