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

MR. DAVID ALDEN BOEDEKER, PA-C

Active

MR. DAVID ALDEN BOEDEKER, PA-C is a Medical Physician Assistant healthcare provider located in LANSING, Michigan. NPI 1508311085 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LANSING, MI

Registration Details

NPI Number
1508311085
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2016 (10.013958740011 yrs)
Last Updated
Oct 4, 2021
Licenses
5601008520 (MI)
PT696 (WY)

Practice Information

Address
2815 S. PENNSYLVANIA AVE
SUITE 204
LANSING, MI, 489103496
Browse MI providers · Browse ZIP 48910
Phone
5172670200
Fax
5172671877
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LANSING, MI

Name Credential NPI
J CHARLES ELLIOTT PA 1841299617
MS. BEVERLY JANE SAINZ PA-C 1851388532
MRS. KELLIE MARIE WELLS PA 1700832987
KYLE L.R. SPERLING PA 1710071295
STEFANIE ANDERSON-NASSAR 1386863637
MRS. RENEE AUTUMN HALLIDAY P.A-C 1740469360
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.