Chris Peter Boosalis, CERTIFIED PROSTHETIS

NPI #1013017813 in Edina, Minnesota

Provider Information

NPI Number
1013017813
Entity Type
Individual
Name
Chris Peter Boosalis, CERTIFIED PROSTHETIS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
CERTIFIED PROSTHETIS
Enumeration Date
Sep 22, 2006
Last Updated
Apr 5, 2012

Practice Location

Address
6600 FRANCE AVE S
Address 2
SUITE 162
City
Edina
ZIP Code
55435-1805
Phone
(952) 929-1051

Specialties & Taxonomy Codes

Specialty
Prosthetist

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