IndividualActive
Andrea Boeckman, MD
NPI 1194882514 · Obstetrics & Gynecology Physician · Lake Geneva, WI
Provider details
- NPI number
- 1194882514
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 49227 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
Approximate (ZIP-level) locationGet directions
Mailing address
3821 Spring Street
Racine, WI 53405-1667
Additional practice locations (1)
- 3821 Spring StreetRacine, WI 53405-1667Phone: (262) 687-8460Fax: (262) 687-3906
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.