Individual
ALEXANDER ALBERT BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
57181
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194083675
—
MN
Enumeration date
05/02/2012
Last updated
03/08/2024
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