| Doctor Name: | MR. DIETER J BOXMANN |
| NPI Number: | 1023178548 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | CNP-01806 |
| Business Practice Address: | 200 Mercy Dr Ste 200 Dubuque, IA - 520017392 |
| Business Phone Number: | 5635837357 |
| Business Fax Number: | 5635837026 |
| Mailing Address: | 200 Mercy Dr Ste 200, DUBUQUE |
| State: | IA |
| Postal Code: | 520017392 |
| Phone Number: | 5635837357 |
| Fax Number: | 5635837026 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CNP-01806 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |