Darayu C Boltaeva, DMS, PA-C
NPI #1912714692 in Marshfield, Wisconsin
Provider Information
- NPI Number
- 1912714692
- Entity Type
- Individual
- Name
- Darayu C Boltaeva, DMS, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- DMS, PA-C
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Apr 1, 2025
Practice Location
- Address
- 1000 N OAK AVE
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-5703
- Phone
- (800) 782-8581
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
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