Individual
DR. DAVID ROBERT BOULWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
420 DELAWARE ST SE, MMC 250, MINNEAPOLIS, MN 55455-0341
(612) 625-7634
Mailing address
2001 6TH ST SE, MTRF 3-222, MINNEAPOLIS, MN 55455-3007
(612) 624-9996
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
44649
MN
Other
Enumeration date
01/20/2007
Last updated
06/05/2012
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