Peter J Boosalis, MD

NPI #1174577316 in Stillwater, Minnesota

Provider Information

NPI Number: 1174577316
Entity Type: Individual
Name: Peter J Boosalis, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: May 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 927 CHURCHILL ST W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6605
Phone: (651) 430-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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