DR. Gretchen Bosacker, M.D.

NPI #1679532147 in Wyoming, Minnesota

Provider Information

NPI Number: 1679532147
Entity Type: Individual
Name: DR. Gretchen Bosacker, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 22, 2006
Last Updated: Jun 22, 2011

Practice Location

Address: 5200 FAIRVIEW BLVD
City: Wyoming
State: Minnesota
ZIP Code: 55092-8013
Phone: (651) 982-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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