Physician Assistant, Medical
Mr. MARK BOOMERSHINE PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164617122 · enumerated 2007-09-12 · record updated 2023-03-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3496 E LAKE LANSING RD, SUITE 100, EAST LANSING, MI, 48823-2288 (517) 333-0968 Fax (517) 333-4306 Google Maps Apple Maps OpenStreetMap
- Practice location 3496 E LAKE LANSING RD, SUITE 100, EAST LANSING, MI, 48823-2288 (517) 333-0968 Fax (517) 333-4306 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 5601001393 MI
In this directory
Locations and evidence
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Practice location
EAST LANSING, MI, 488232288
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.