| G P Boyum Md Pllc | |
|
2275 Overlook Ct N Stillwater MN 55082-1566 | |
| (651) 439-6845 | |
| Not Available |
| Full Name | G P Boyum Md Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 2275 Overlook Ct N, Stillwater, Minnesota |
| Authorized Official Name and Position | George Peter Boyum (OWNER) |
| Authorized Official Contact | 6514396845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G P Boyum Md Pllc 2275 Overlook Ct N Stillwater MN 55082-1566 Ph: (651) 439-6845 | G P Boyum Md Pllc 2275 Overlook Ct N Stillwater MN 55082-1566 Ph: (651) 439-6845 |
| NPI Number | 1801289640 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801289640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 21557 (Minnesota) | Primary |
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