STEPHEN BOLOGNA

ST CLOUD, MN
NPI1053383026
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: MN  31895)
Enumeration Date2006-02-03
Last Update Date2007-07-08
Business Address
-- STEPHEN BOLOGNA
1406 6TH AVE N
ST CLOUD, MN 56303
Phone number: 320-255-5657
Mailing Address
-- STEPHEN BOLOGNA
1406 6TH AVE N
ST CLOUD, MN 56303
Phone number: