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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOARDMAN HEALTH AND WELLNESS, PLLC

Active Organization

BOARDMAN HEALTH AND WELLNESS, PLLC is a Physician Assistant organization located in S BOARDMAN, Michigan. NPI 1063453363 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · S BOARDMAN, MI

Registration Details

NPI Number
1063453363
Provider Type
Organization
NPI Issued
Jun 9, 2006 (20.2235664369 yrs)
Last Updated
Sep 11, 2025
Licenses
4301069428 (MI)
5601003799 (MI)

Practice Information

Address
4713 PINE ST SW
S BOARDMAN, MI, 496809761
Browse MI providers · Browse ZIP 49680
Phone
2313692656
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.