Individual
DR. CHRISTOPHER WILLIAM BOELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 CONNECTICUT AVE S, SUITE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Mailing address
2351 CONNECTICUT AVE S, SUITE 200, SARTELL, MN 56377-2477
(320) 259-1411
(320) 259-8967
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
41813
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876478600
—
MN
01
—
P00143202
RAILROAD MEDICARE
MN
Enumeration date
06/15/2006
Last updated
04/06/2015
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