Dr. Tanya Boldenow
Dr. Tanya Boldenow is a Pediatric Medicine in Ypsilanti, Michigan. Graduated from Wayne State University School of Medicine in 2006, 20 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 20
- Trained at
- Wayne State University School of Medicine
- Licensed in
- MI
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
5301 E Huron River DrYpsilanti, MI 48197-1051
Phone: (734) 712-3935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 4301088387 (MI) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 4301088387 (MI) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 4301088387 (MI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 4301099387 (MI) |
Record details
| NPI number | 1083837173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Also practises | EMERGENCY MEDICINE, INTERNAL MEDICINE |
| Medical school | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2006 (20 years in practice) |
| Group practice | Iha Health Services Corporation — 1146 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Ypsilanti
-
Dr. Lee Benjamin, MD
5301 E Huron River Dr, Ypsilanti, MI 48197-1051 · (734) 712-3962
-
Dr. Jessica Levely Corcoran, MD
Iha Palliative Care 5301 E Huron River Dr Ste 2119, Ypsilanti, MI 48197 · (734) 712-7255
-
Robert M Domeier, MD
5301 McAuley Dr, Ypsilanti, MI 48197-1051 · (734) 712-3456
-
Constance J Doyle, MD
5301 McAuley Dr, Ypsilanti, MI 48197-1051 · (734) 712-3456
-
Peter Emiley, MD
5301 McAuley Dr, Ypsilanti, MI 48197-1051 · (734) 712-3000