MARIE VALE BOOMER

NOVI, MI
NPI1164621009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001569)
Enumeration Date2007-07-12
Last Update Date2015-12-29
Business Address
-- MARIE VALE BOOMER PA-C
28455 HAGGERTY RD STE 200
NOVI, MI 48377-2982
Phone number: 248-893-3200
Mailing Address
-- MARIE VALE BOOMER PA-C
6676 SOLUTIONS CTR
CHICAGO, IL 60677-6006
Phone number: 248-893-3200
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