Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ASIEDU BOATENG
Active Sole ProprietorPharmacist Clinician (PhC) · BEAVER DAM, WI
Registration Details
- NPI Number
- 1730787227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2020 (5.5277377724273 yrs)
- Last Updated
- Oct 15, 2020
- License
-
17409-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 FRANCES LNBEAVER DAM, WI, 539161165Browse WI providers · Browse ZIP 53916
- Phone
- 9208855808
- Fax
- 9208855976
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Other Pharmacist Clinician (PhC) Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| DR. KYLE MATTHEW WAYNER | PHARMD | 1336813609 |
| DR. JAMES AUGUST OETTINGER | RPH | 1306724174 |
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.