Individual
ERIK BOSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2157
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59333
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003250655
—
MN
Enumeration date
04/25/2013
Last updated
10/23/2020
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