Walter R Boisvert
Family Doctor
610 E Taylor St
Prairie du Chien
, Wisconsin 53821-2109
Walter R Boisvert
Family Doctor
610 E Taylor St
Prairie du Chien
, Wisconsin 53821-2109
(608) 782-7300
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Walter R Boisvert
- 1836 South Ave
- La Crosse, WI
- Zip : 54601-5429
- Phone : (608) 782-7300
Second Address
- Walter R Boisvert
- 610 E Taylor St
- Prairie Du Chien, WI
- Zip : 53821-2109
- Phone : (608) 326-6466
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 27563 | WI |
National Provider Identifier
| NPI | 1003810821 |
|---|---|
| Provider Name | Walter R Boisvert |
| First Address | La Crosse, WI 54601-5429 |
| Second Address | Prairie Du Chien, WI 53821-2109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 21/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31419400 | (05) | WI |
| B51632 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.