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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMANDA LEIGH BOOZALIS, MD

Active Sole Proprietor

DR. AMANDA LEIGH BOOZALIS, MD is a Obstetrics & Gynecology healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1043701527 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MINNEAPOLIS, MN

Registration Details

NPI Number
1043701527
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2018 (8.275694160941 yrs)
Last Updated
Nov 2, 2023
Licenses
01087868A (IN)
74462 (MN)
Sole Proprietor
Yes

Practice Information

Address
3270 W LAKE ST
MINNEAPOLIS, MN, 554164512
Browse MN providers · Browse ZIP 55416
Phone
6127751800
Fax
6127751805
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in MINNEAPOLIS, MN

Name Credential NPI
DR. ERIC GODDARD HEEGAARD MD 1407852197
DR. SCOTT J BARNACLE MD 1457346926
CORINNE NADINE MOLL MD 1255326872
SHAWN MARIE SEVERSON MD 1760466130
MARSHA GAUNT ALEXANDER MD 1194700690
DR. JENNIFER MARTHA MCKEAND MD MS 1043296064
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.