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NPI Code Detail

MEDICARE: ELAINE BOYLE P.A.-C

MEDICARE: ELAINE BOYLE P.A.-C
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
1363A00000XPhysician Assistant5601004618MI
2363A00000XPhysician Assistant5601004618 TEMPMI

General Provider Information

NPI Number : 1669499281
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE BOYLE P.A.-C
Provider Business Mailing Address
First Line : 1570 SUNCREST DR # 6
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-410-2832
Fax Number : 833-582-2258
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR # 6
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-410-2832
Fax Number : 833-582-2258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/17/2026

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Directions to “ ELAINE BOYLE P.A.-C” Practice Location

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