Advanced Integrative Medicine

NPI #1487949897 in Crosby, Minnesota

Provider Information

NPI Number
1487949897
Entity Type
Organization
Organization Name
Advanced Integrative Medicine
Primary Specialty
General Practice
Enumeration Date
Jun 14, 2011
Last Updated
Oct 4, 2011

Practice Location

Address
5 W MAIN ST
City
Crosby
ZIP Code
56441-1421
Phone
(218) 546-7333

Authorized Official

Name
DR. MARK BOSTROM, D.O.
Title
EXECUTIVE MEDICAL DIRECTOR
Phone
(218) 546-7333

Specialties & Taxonomy Codes

Specialty
General Practice

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