Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE VALE BOOMER, PA-C
ActiveMARIE VALE BOOMER, PA-C is a Medical Physician Assistant healthcare provider located in NOVI, Michigan. NPI 1164621009 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · NOVI, MI
Registration Details
- NPI Number
- 1164621009
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2007 (19.103176027593 yrs)
- Last Updated
- Dec 29, 2015
- License
-
5601001569 (MI)
Practice Information
- Address
-
28455 HAGGERTY RDSTE 200NOVI, MI, 483772982Browse MI providers · Browse ZIP 48377
- Phone
- 2488933200
- Fax
- 2488932950
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in NOVI, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. LINDA SUE GREENWOOD | PA | 1578503033 |
| MRS. KIMBERLY T CANTILLON | PA | 1740218999 |
| DONALD SHAFFER | PA-C | 1639109051 |
| DEBRA ANNE KNIGHT | PA-C | 1588680417 |
| REMA PALISSERY MENON | P.A | 1669634499 |
| RYAN MICHAEL OLIVERO | PA-C | 1689903213 |
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.