person
Nicole Suzanne Boersma, MD
General Practice Physician in Greensburg, Indiana
NPI 1598981391

Nicole Suzanne Boersma is a General Practice Physician based in Greensburg, IN. Nicole Suzanne Boersma practices in Greensburg, IN and has the professional credentials of MD. The NPI Number for Nicole Suzanne Boersma is 1598981391 and holds a License No. 01062609A (Indiana).

The current practice location address for Nicole Suzanne Boersma is 718 N Lincoln St, Greensburg, IN and can be reached out via phone at 812-662-0588 and via fax at 812-663-1155.

Location: 718 N Lincoln St, Greensburg, IN, 47240-1348
person
Provider Profile Details
NPI Number
1598981391
Provider Name
Nicole Suzanne Boersma
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
718 N Lincoln St, Greensburg, IN, 47240-1348
Phone Number
812-662-0588
Fax Number
812-663-1155
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200889340 05 IN
P01447581 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
718 N Lincoln St
City
State
Zip
47240-1348
Phone Number
812-662-0588
Fax Number
812-663-1155
person
Provider Business Mailing Address Details
Address
718 N Lincoln St
City
State
Zip
47240-1348
Phone Number
812-662-0588
Fax Number
812-663-1155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
01062609A (Indiana)
Definition
Definition to come...
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