Individual
JEFF O BOHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1835 COUNTY ROAD C W STE 150, ROSEVILLE, MN 55113-1343
(651) 430-3800
(651) 430-3827
Mailing address
1950 NORTHWESTERN AVE, SUITE 102, STILLWATER, MN 55082
(651) 430-3800
(651) 430-3827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12956
MN
Other
Enumeration date
03/06/2019
Last updated
05/05/2021
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