MARK D BOLDT

SAINT PAUL, MN
NPI1922070762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MN  R0901701)
Enumeration Date2006-02-06
Last Update Date2007-10-29
Business Address
-- MARK D BOLDT NP
2550 UNIVERSITY AVE W SUITE 423 SOUTH
SAINT PAUL, MN 55114-1052
Phone number: 612-870-5557
Mailing Address
-- MARK D BOLDT NP
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone number: 612-870-5557
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