Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDALL A BOSTROM, MD
ActiveRANDALL A BOSTROM, MD is a Family Medicine healthcare provider located in MORA, Minnesota. NPI 1396705083 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MORA, MN
Registration Details
- NPI Number
- 1396705083
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2006 (20.393249610491 yrs)
- Last Updated
- Jul 8, 2007
- License
-
30066 (MN)
Practice Information
- Address
-
331 HIGHWAY 65 SMORA, MN, 550511899Browse MN providers · Browse ZIP 55051
- Phone
- 3206791313
- Fax
- 3202253141
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MORA, MN
| Name | Credential | NPI |
|---|---|---|
| MATTHEW D SCHULTZ | MD | 1235129743 |
| BABITHA VARGIS KALLIMEL | MD | 1205807526 |
| BRIAN D NISKANEN | MD | 1598725970 |
| RONALD K MENK | MD | 1588626550 |
| JACK D SCHWINGHAMER | MD | 1457313124 |
| TERRY A JOHNSON | MD | 1922062637 |
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.