ALEX BLOOMQUIST

WACONIA, MN
NPI1518685379
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  15045)
Enumeration Date2022-08-18
Last Update Date2024-08-29
Business Address
ALEX BLOOMQUIST
560 S MAPLE ST STE 30
WACONIA, MN 55387-1759
Phone number: 952-442-2191
Mailing Address
ALEX BLOOMQUIST
560 S MAPLE ST STE 30
WACONIA, MN 55387-1759
Phone number: