Pamela N Bloomquist M.D.

NPI 1063498673 - Pediatrics - 208000000X

NPI Details
NPI 1063498673
Gender Female
Enumeration Date 12/16/2005
Last Updated 06/09/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
12720 BASS LAKE RD
MAPLE GROVE MN, 55369-6307, US
Phone (763) 559-2861
Fax (763) 559-1338
Business Location
12720 BASS LAKE RD
MAPLE GROVE MN, 55369-6307, US
Phone (763) 559-2861
Fax (763) 425-3277
Toxanomy
Taxonomy Code 208000000X
License State Minnesota
License Number 45836
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According to our database, Pamela N Bloomquist M.D. NPI is 1063498673, taxonomy code is 208000000X and license number is 45836, license state is located at Minnesota. Pamela N Bloomquist M.D. physically located at 12720 Bass Lake Rd, Maple Grove MN, 55369-6307. NPI Number Pamela N Bloomquist M.D. has the Individual type.

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1063498673 NPI number is provided on an as is basis without warranty of any kind. 1063498673 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela N Bloomquist M.D. are for informational purposes only.