DR. Michael Ray Bourne, MD
NPI #1164412649 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1164412649
- Entity Type
- Individual
- Name
- DR. Michael Ray Bourne, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist
- Credential
- MD
- Enumeration Date
- Oct 25, 2005
- Last Updated
- Jan 21, 2026
Practice Location
- Address
- 1500 CURVE CREST BLVD W
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6040
- Phone
- (651) 439-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
| Podiatrist |
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