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NPI Code Detail

MEDICARE: MARY DALLMAN BOYER MD

MEDICARE: MARY DALLMAN BOYER 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
1207P00000XEmergency Medicine Physician4301055502MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010041818OTHERMIRAILROAD MEDICARE

General Provider Information

NPI Number : 1396752218
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY DALLMAN BOYER MD
Provider Business Mailing Address
First Line : 1400 MERCY DR STE 100
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1833
Country : US
Telephone Number : 231-733-1326
Fax Number : 231-733-5212
Provider Business Practice Location Address
First Line : 1400 MERCY DR STE 100
Second Line :
City : MUSKEGON
State : MI
Zip : 49444-1833
Country : US
Telephone Number : 231-733-1326
Fax Number : 231-733-5212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 12/23/2025

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Directions to “ MARY DALLMAN BOYER MD” Practice Location

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