NPI 1194882514

Andrea D Boeckman, MD

Practitioner Obstetrics & Gynecology Physician Lake Geneva, WI

Practice location

Address: N2950 State Road 67, Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
Mailing address: 3821 Spring Street, Racine, WI 53405-1667

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 49227 (WI)

Other Obstetrics & Gynecology providers in Wisconsin →

Registry record

NPI: 1194882514
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2007
Record last updated: 8 Nov 2023

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.