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Trent Shakespear Boehm, DPM
Student in an Organized Health Care Education/Training Program in Weston, Wisconsin
NPI 1871157099

Trent Shakespear Boehm is a Student in an Organized Health Care Education/Training Program based in Trotwood, WI. Trent Shakespear Boehm practices in Weston, WI and has the professional credentials of DPM. The NPI Number for Trent Shakespear Boehm is 1871157099 and holds a License No. 1200 (Wisconsin).

The current practice location address for Trent Shakespear Boehm is 5403 Normandy St, Weston, WI and can be reached out via phone at 715-241-8100 and via fax at 715-241-8102.

Location: 5403 Normandy St, Weston, WI, 45426-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871157099
Provider Name
Trent Shakespear Boehm
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5403 Normandy St, Weston, WI, 45426-2835
Phone Number
715-241-8100
Fax Number
715-241-8102
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5403 Normandy St
City
Weston
State
Wisconsin
Zip
54476-2217
Phone Number
715-241-8100
Fax Number
715-241-8102
person
Provider Business Mailing Address Details
Address
5403 Normandy St
City
Weston
State
Wisconsin
Zip
54476-2217
Phone Number
715-241-8100
Fax Number
715-241-8102
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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.
1200 (Wisconsin)
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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