Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DAVID BOSTROM, MD
ActiveMARK DAVID BOSTROM, MD is a Family Medicine healthcare provider located in NEW RICHMOND, Wisconsin. NPI 1255860169 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NEW RICHMOND, WI
Registration Details
- NPI Number
- 1255860169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2017 (9.1856403721738 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
64340 (MN)73969 (WI)
Practice Information
- Address
-
535 HOSPITAL RDNEW RICHMOND, WI, 540171449Browse WI providers · Browse ZIP 54017
- Phone
- 7152432600
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NEW RICHMOND, WI
| Name | Credential | NPI |
|---|---|---|
| DAVID O. DEGEAR | M.D. | 1144202425 |
| STEPHEN J HARROLD | MD | 1871575167 |
| CLIFFORD C TENNER | MD | 1376525519 |
| ROBIN M REICHERT | MD | 1205818440 |
| ALLEN M MEDINI | MD | 1376525246 |
| DAVID L OLSON | MD | 1609858497 |
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.