Individual provider · NPI-1

Vera Boateng, MD

Family Medicine · Plymouth, MN

NPI number1902415706

StatusActive

Last updated in NPPESJun 9, 2026

Details

NPI: 1902415706
Entity type: Individual (NPI-1)
Name: Vera Boateng
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jul 28, 2020
Certification date: Jun 9, 2026
Last updated: Jun 9, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	82215	MN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	8257-851	WI
207Q00000X	Family Medicine	76507-20	WI

Practice location

2855 Campus Dr Ste 400
Plymouth, MN 55441-2659

Phone 763-577-7400 · Fax 763-236-2650

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-9000 · Fax 612-262-9035

Other practice locations

849 Kellogg Ave
Janesville, WI 53546-2808

Phone 608-755-7960 · Fax 608-755-7873

3524 E Milwaukee St
Janesville, WI 53546-1626

Phone 608-756-7100 · Fax 608-756-7225

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.