Provider Demographics
NPI:1043318504
Name:GUY M BOIKE, MD PC
Entity Type:Organization
Organization Name:GUY M BOIKE, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BOIKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-583-6819
Mailing Address - Street 1:PO BOX 1427
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48605-1427
Mailing Address - Country:US
Mailing Address - Phone:989-583-6819
Mailing Address - Fax:989-753-8521
Practice Address - Street 1:1000 HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5303
Practice Address - Country:US
Practice Address - Phone:989-583-6819
Practice Address - Fax:989-753-8521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Not Answered207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE91838Medicare UPIN
MIN81170001Medicare ID - Type Unspecified