Boeve, Wallace Dwayne

Boeve, Wallace Dwayne is an individual health care provider with primary practice located at 1500 Curve Crest Blvd W , Stillwater MN 55082. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boeve, Wallace Dwayne can be contacted via phone (651) 439-1234.

Contact Information

Primary practice address
1500 Curve Crest Blvd W Stillwater MN 55082
Phone: (651) 439-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11157 Minnesota

Profile Details

NPI number 1992724371
LBN Legal business name Boeve, Wallace Dwayne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 15th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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