Boardman Family Practice PLLC
Boardman Family Practice PLLC is a Family Medicine Physician in South Boardman, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4713 Pine St SWSouth Boardman, MI 49680-9761
Phone: (231) 518-0189
Fax: (231) 518-0188
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 5101013379 (MI) |
| Physician Assistant | Taxonomy 363A00000X · Licence 5601002729 (MI) |
Record details
| NPI number | 1740564681 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Kreykes — Owner · (231) 624-1054 |
| NPI enumerated | October 10, 2011 |
| Last updated in NPPES | March 30, 2016 |
| Mailing address | 4713 Pine St Sw, South Boardman, MI 49680-9761 |
Other providers in South Boardman
-
Boardman Health and Wellness, PLLC
4713 Pine St SW, South Boardman, MI 49680-9761 · (231) 369-2656