PETRA BOONSTRA AU

MICHIGAN OTOLARYNGOLOGY SURGERY

Dr PETRA BOONSTRA AU is a female medical professional, specializing in Qualified Audiologist. She graduated in 1994.

Contact

MICHIGAN OTOLARYNGOLOGY SURGERY

5333 MCAULEY DR
RM 2017
YPSILANTI
MI
481971096

Tel: 7344343200

PETRA BOONSTRA AU Information

Npi 1134146178
Pac Id 7012945371
Professional Enrollment Id I20050728001071
Last Name BOONSTRA
First Name PETRA
Middle Name
Suffix
Gender F
Credential AU
Medical School Name OTHER
Graduation Year 1994
Primary Specialty QUALIFIED AUDIOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MICHIGAN OTOLARYNGOLOGY SURGERY
Group Practice Pac Id 1759442627
Number Of Group Practice Members 17
Line 1 Street Address 5333 MCAULEY DR
Line 2 Street Address RM 2017
Marker Of Address Line 2 Suppression
City YPSILANTI
State MI
Zip Code 481971096
Phone Number 7344343200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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