MARK A BOOMERSHINE

EAST LANSING, MI
NPI1164617122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001393)
Enumeration Date2007-09-12
Last Update Date2023-03-07
Business Address
Mr. MARK A BOOMERSHINE PA
3496 E LAKE LANSING RD SUITE 100
EAST LANSING, MI 48823-2288
Phone number: 517-333-0968
Mailing Address
Mr. MARK A BOOMERSHINE PA
3496 E LAKE LANSING RD SUITE 100
EAST LANSING, MI 48823-2288
Phone number: 517-333-0968
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