Individual
DR. COLIN NEIL BOMSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
4459 E 1369TH RD, EARLVILLE, IL 60518-6265
(815) 993-8702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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