WALLACE DWAYNE BOEVE

STILLWATER, MN
NPI1992724371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  11157)
Enumeration Date2006-07-18
Last Update Date2018-11-15
Business Address
WALLACE DWAYNE BOEVE PA-C
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Phone number: 651-439-1234
Mailing Address
WALLACE DWAYNE BOEVE PA-C
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number: 651-439-1234