Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BEAU BOEDECKER, PA-C
ActiveMR. BEAU BOEDECKER, PA-C is a Physician Assistant healthcare provider located in MILWAUKEE, Wisconsin. NPI 1093012734 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILWAUKEE, WI
Registration Details
- NPI Number
- 1093012734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2011 (15.489000017574 yrs)
- Last Updated
- Jan 3, 2022
- License
-
2701-23 (WI)
Practice Information
- Address
-
2801 W KINNICKINNIC RIVER PKWY STE 550MILWAUKEE, WI, 532153696Browse WI providers · Browse ZIP 53215
- Phone
- 4143857150
- Fax
- 4143857159
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| JULIA NICOLE MENNEN | P.A. | 1407852916 |
| MR. MARK P BEHAR | PA-C | 1205832045 |
| LEILA SCHAEFER | P.A.-C | 1508866401 |
| MRS. CHRISTINE B KAMELLE | PA | 1821090440 |
| ALAN E EDWARDS | PA | 1700879871 |
| CATHERINE R. VALENTYN | P.A. - C. | 1578558045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.