Individual
CHRIS PETER BOOSALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PROSTHETIS
Contact information
Practice address
6600 FRANCE AVE S, SUITE 162, EDINA, MN 55435-1805
(952) 929-1051
(952) 929-9641
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
04/05/2012
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