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NPI Profile for PAUL D BOEREMA in CLEVELAND, TN.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1396979233 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/06/2009 | |
| Last updated | 05/31/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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PAUL D BOEREMA
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PAUL D BOEREMA, MD