NPI 1700512399 · live from the CMS NPI Registry
Alex Michael Boreen, PA-C
Physician Assistant in Wahpeton, ND. National Provider Identifier 1700512399, active.
NPI record
| NPI | 1700512399 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 275 11th St S, Wahpeton, ND 58075 |
| Practice phone | 701-642-2000 |
| Mailing address | 400 E 3rd St, Duluth, MN 55805 |
| Enumerated | July 27, 2022 |
| Last updated | August 7, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC1082 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.