institution
Boanerges
Land Ambulance in Davison, Michigan
NPI 1841280328

Boanerges is a Land Ambulance based in Lapeer, MI and is specialized in Land Transport. Boanerges practices in Davison, MI. The NPI Number for Boanerges is 1841280328 and holds a License No. 089034 (Michigan).

The current practice location address for Boanerges is 320 S State Rd, Davison, MI and can be reached out via phone at 810-658-3865 and via fax at 810-658-3865.

Location: 320 S State Rd, Davison, MI, 48446-0402
institution
Provider Profile Details
NPI Number
1841280328
Provider Name
Boanerges
Credential
Provider Entity Type
Organization
Address
320 S State Rd, Davison, MI, 48446-0402
Phone Number
810-658-3865
Fax Number
810-658-3865
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4115526 05 MI
590D40002 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
320 S State Rd
City
State
Zip
48423-1510
Phone Number
810-658-3865
Fax Number
810-658-3865
person
Provider Business Mailing Address Details
Address
320 S State Rd
City
State
Zip
48423-1510
Phone Number
810-658-3865
Fax Number
810-658-3865
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
089034 (Michigan)
Definition
Definition to come...
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