Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONICA R BUBOLTZ
Active Sole Proprietor2255R0406X · NEW ULM, MN
Registration Details
- NPI Number
- 1033678958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2019 (7.0944566560263 yrs)
- Last Updated
- Mar 19, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
614 N JEFFERSON STNEW ULM, MN, 560731933Browse MN providers · Browse ZIP 56073
- Phone
- 5072176016
- Primary Specialty
-
2255R0406X
2255R0406X
- Additional Specialty
- 2255R0406X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.