Individual
CHRISTINA LEE BOULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-6777
(612) 365-4370
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
(651) 884-0749
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
52943
MN
207NP0225X
Pediatric Dermatology Physician
Primary
52943
MN
Other
Enumeration date
08/28/2007
Last updated
11/27/2023
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