EMILY ROSE BASTYR

MANKATO, MN
NPI1093169682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  62472)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MN  207Q0000X)
Enumeration Date2016-04-20
Last Update Date2019-04-24
Business Address
EMILY ROSE BASTYR D.O.
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-385-6500
Mailing Address
EMILY ROSE BASTYR D.O.
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000