RANDALL A BOSTROM

MORA, MN
NPI1396705083
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MN  30066)
Enumeration Date2006-03-25
Last Update Date2007-07-08
Business Address
-- RANDALL A BOSTROM MD
331 HIGHWAY 65 S
MORA, MN 55051-1899
Phone number: 320-679-1313
Mailing Address
-- RANDALL A BOSTROM MD
PO BOX 43 MR 10809
MINNEAPOLIS, MN 55440-0043
Phone number: 612-262-4813
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