Nicole Boxer, MD, PC
Organization Active NPI Family Medicine Physician · Douglas, MI
NPI 1629185459 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1629185459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301076142 (MI)
- Legal business name
- NICOLE BOXER, MD, PC
- Practice address
- 2993 Blue Star Hwy
Suite 102
Douglas, MI 49406 - Phone
- (269) 857-2700
- Fax
- (269) 857-6164
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Nicole Boxer, MD
- Title
- President
- Phone
- (269) 857-2700
Practitioners 4
-
Nicole S Boxer, MD
-
Donna Joan White, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4301076142 | MI | Yes |
Addresses
Primary practice location
2993 Blue Star Hwy
Suite 102
Douglas, MI 49406
Mailing address
PO Box 2620
Douglas, MI 49406-2620
Phone (269) 857-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45306050 | Medicaid | MI |
Other providers in Douglas, MI
- K Enriquez Counseling PLLC.
- Marineau Eye Care, PLC
- Ruhi A Micunek
- Erica J Monroe
- Nanmax Health Management Inc
- Carrie Jean Ouvry
- Kailey Jean Price VII
- Martin George Raebel II
- Richard C Annis OD PC
- Sara Ruiter
All providers in Douglas, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.