G P Boyum MD Pllc
NPI #1801289640 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1801289640
- Entity Type
- Organization
- Organization Name
- G P Boyum MD Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 17, 2015
- Last Updated
- Mar 17, 2015
Practice Location
- Address
- 2275 OVERLOOK CT N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-1566
- Phone
- (651) 439-6845
Authorized Official
- Name
- GEORGE PETER BOYUM, MD
- Title
- OWNER
- Phone
- (651) 439-6845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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