Boyce, Mark William

Boyce, Mark William is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Boyce, Mark William can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 26920 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 26920 Minnesota

Profile Details

NPI number 1508881186
LBN Legal business name Boyce, Mark William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 16th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508881186 NPPES
Minnesota MEDICAID 685863500

Popular Providers