RANDALL J. BOLAR

DETROIT LAKES, MN
NPI1558323246
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: MN  36945)
Additional Taxonomies208600000X Surgery
(Licence: TN  34949)
Enumeration Date2006-04-06
Last Update Date2015-12-23
Business Address
-- RANDALL J. BOLAR M.D.
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
Mailing Address
-- RANDALL J. BOLAR M.D.
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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