OrganizationActive
Boardman Family Practice PLLC
NPI 1740564681 · Rural Health Clinic/Center · South Boardman, MI
Provider details
- NPI number
- 1740564681
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Todd Kreykes, Owner(231) 624-1054
- License
- 5101013379 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4713 Pine St Sw
South Boardman, MI 49680-9761
Phone: (231) 518-0189
Fax: (231) 518-0188
Approximate (ZIP-level) locationGet directions
Mailing address
4713 Pine St Sw
South Boardman, MI 49680-9761
Registry dates
- Enumerated
- 2011-10-10
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.