Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK O BOSTROM, DO
ActiveDR. MARK O BOSTROM, DO is a Internal Medicine healthcare provider located in CROSBY, Minnesota. NPI 1902990419 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · CROSBY, MN
Registration Details
- NPI Number
- 1902990419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2006 (19.679982697821 yrs)
- Last Updated
- Nov 19, 2020
- Licenses
-
38115 (MN)38115 (MN)
Practice Information
- Address
-
320 EAST MAIN STREETCROSBY, MN, 56441Browse MN providers · Browse ZIP 56441
- Phone
- 2185467000
- Fax
- 2185464400
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in CROSBY, MN
| Name | Credential | NPI |
|---|---|---|
| ANGELINA G AUSBAN | MD | 1891776837 |
| GEORGE ADOLPH KUHLMANN | MD | 1891770244 |
| DR. RAJESH BHARGAVA | MD | 1013995802 |
| ROBERT COOPER | MD | 1356396394 |
| JACK WILLIAM GORDON | MD | 1578595427 |
| LAURA E. RATHE | MD | 1982702874 |
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.