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NPI Code Detail

MEDICARE: DR. NICOLE S BOXER MD

MEDICARE: DR. NICOLE S BOXER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301076142MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003811589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE S BOXER MD
Provider Business Mailing Address
First Line : 75 STATE ST 26TH
Second Line :
City : BOSTON
State : MA
Zip : 02109-1827
Country : US
Telephone Number : 617-204-3500
Fax Number :
Provider Business Practice Location Address
First Line : 181 W EMMETT ST
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-2963
Country : US
Telephone Number : 269-441-3403
Fax Number : 269-441-1265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 11/11/2019

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Directions to “ DR. NICOLE S BOXER MD” Practice Location

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