Mark O Bostrom is a Family Medicine in Crosby, Minnesota. Mark O Bostrom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark O Bostrom is 1902990419. The last update date is 2020-11-19.
Mark O Bostrom's current location address is 320 East Main Street, Crosby, Minnesota. You can contact this provider via phone number 2185467000 and fax number 2185464400. The mailing address for Mark O Bostrom is 320 East Main Street, Crosby, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark O Bostrom |
|---|---|
| Address | 320 East Main Street, Crosby, Minnesota |
| Phone Number | 2185467000 |
| Fax Number | 2185464400 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1902990419 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-11-19 |
Provider Mailing Address Detail
| Address | 320 East Main Street |
|---|---|
| City | Crosby |
| State | Minnesota (MN) |
| Post Code | 56441 |
| Phone Number | 2185467000 |
| Fax Number | 2185464400 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 38115 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85419100 | MN | -- |
Post Comment/ Review Below
What is the Mark O Bostrom's 1902990419?
The Mark O Bostrom's NPI (National Provider Identifier) Number is 1902990419. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark O Bostrom located?
The Mark O Bostrom is located at 320 East Main Street, Crosby, MN 56441.
What is Mark O Bostrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark O Bostrom is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902990419 to Mark O Bostrom?
The Centers for Medicare & Medicaid Services assigned the 1902990419 to Mark O Bostrom on 2006-10-02.
When was the information regarding Mark O Bostrom most recently updated?
The details pertaining to the Mark O Bostrom, including its address, specialty, and other relevant information, were last refreshed on 2020-11-19.