Individual
MICHAEL J BOZIVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 EXCHANGE ST W, SUITE 500, SAINT PAUL, MN 55102-1045
(651) 232-4200
(651) 232-4119
Mailing address
17 EXCHANGE ST W, SUITE 500, SAINT PAUL, MN 55102-1045
(651) 232-4200
(651) 232-4119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579203700
—
MN
Enumeration date
04/20/2006
Last updated
02/13/2012
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