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Michael Boese
NPI 1619747276 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1330 W Walnut St
Lodi, CA 95242 - Phone
- (916) 524-3521
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California