Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACLYN J BOHM, DPM
ActiveDR. JACLYN J BOHM, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in ROSEMOUNT, Minnesota. NPI 1306005111 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · ROSEMOUNT, MN
Registration Details
- NPI Number
- 1306005111
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2008 (18.148379214029 yrs)
- Last Updated
- Jul 25, 2012
- License
-
842 (MN)
Practice Information
- Address
-
15705 CIMARRON AVEROSEMOUNT, MN, 55068Browse MN providers · Browse ZIP 55068
- Phone
- 6513228800
- Fax
- 6513228840
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
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.