Mark David Bostrom, MD
NPI #1255860169 in New Richmond, Wisconsin
Provider Information
- NPI Number
- 1255860169
- Entity Type
- Individual
- Name
- Mark David Bostrom, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 6, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 535 HOSPITAL RD
- City
- New Richmond
- State
- Wisconsin
- ZIP Code
- 54017-1449
- Phone
- (715) 243-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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