NPI 1063433761
Edmund C Boese, MD
Practice location
- Address
- 1200 College Dr, Rock Springs, WY 82901-5868
- Phone
- (307) 362-3711
- Mailing address
- 255 W Michigan Ave, Jackson, MI 49201-2218
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1063433761
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jul 2006
- Record last updated
- 11 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.