PETER J BOOSALIS

STILLWATER, MN
NPI1174577316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MN  41145)
Enumeration Date2006-05-20
Last Update Date2007-07-08
Business Address
-- PETER J BOOSALIS MD
927 CHURCHILL ST W
STILLWATER, MN 55082-6605
Phone number: 651-430-4585
Mailing Address
-- PETER J BOOSALIS MD
14700 28TH AVE N SUITE 20
PLYMOUTH, MN 55447-4835
Phone number: 763-559-3779
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