DR. Mark O Bostrom, DO

NPI #1902990419 in Crosby, Minnesota

Provider Information

NPI Number: 1902990419
Entity Type: Individual
Name: DR. Mark O Bostrom, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Oct 2, 2006
Last Updated: Nov 19, 2020

Practice Location

Address: 320 EAST MAIN STREET
City: Crosby
State: Minnesota
ZIP Code: 56441
Phone: (218) 546-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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