Chris Peter Boosalis CERTIFIED PROSTHETIS

NPI 1013017813 - Prosthetist - 224P00000X

NPI Details
NPI 1013017813
Gender Male
Enumeration Date 09/22/2006
Last Updated 04/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6600 FRANCE AVE S
SUITE 162
EDINA MN, 55435-1805, US
Phone (952) 929-1051
Fax (952) 929-9641
Business Location
4200 DAHLBERG DR
SUITE 300
GOLDEN VALLEY MN, 55422-4840, US
Phone (952) 512-5600
Fax (952) 512-5650
Toxanomy
Taxonomy Code 224P00000X
License State
License Number
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According to our database, Chris Peter Boosalis CERTIFIED PROSTHETIS NPI is 1013017813, taxonomy code is 224P00000X Chris Peter Boosalis CERTIFIED PROSTHETIS physically located at 6600 France Ave S, Edina MN, 55435-1805. NPI Number Chris Peter Boosalis CERTIFIED PROSTHETIS has the Individual type.

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1013017813 NPI number is provided on an as is basis without warranty of any kind. 1013017813 is maintained by the National Plan & Provider Enumeration System. The contents of Chris Peter Boosalis CERTIFIED PROSTHETIS are for informational purposes only.