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Jennifer Erin Boeckman, DO
Student in an Organized Health Care Education/Training Program in Woodbury, Minnesota
NPI 1275822686

Jennifer Erin Boeckman is a Student in an Organized Health Care Education/Training Program based in Woodbury, MN. Jennifer Erin Boeckman practices in Woodbury, MN and has the professional credentials of DO. The NPI Number for Jennifer Erin Boeckman is 1275822686 and holds a License No. 63788 (Minnesota).

The current practice location address for Jennifer Erin Boeckman is 217 Radio Dr, Woodbury, MN and can be reached out via phone at 651-702-0750 and via fax at 651-645-6166.

Location: 217 Radio Dr, Woodbury, MN, 55125-5822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275822686
Provider Name
Jennifer Erin Boeckman
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
217 Radio Dr, Woodbury, MN, 55125-5822
Phone Number
651-702-0750
Fax Number
651-645-6166
Provider Enumeration Date
04/06/2011
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
217 Radio Dr
City
Woodbury
State
Minnesota
Zip
55125-5805
Phone Number
651-702-0750
Fax Number
651-645-6166
person
Provider Business Mailing Address Details
Address
217 Radio Dr
City
Woodbury
State
Minnesota
Zip
55125-5805
Phone Number
651-702-0750
Fax Number
651-645-6166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Allergy & Immunology
Taxonomy
207RA0201X
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
63788 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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Student in an Organized Health Care Education/Training Program
217 Radio Dr,
WOODBURY, MN
55125-5805
651-702-0750
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