Individual
CLAIRE ELIZABETH BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
420 DELAWARE STREET SE, MMC 284, MINNEAPOLIS, MN 55455
(612) 626-5454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69843
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/14/2018
Last updated
08/12/2021
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