Individual
JULIE S BOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5000
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
103005
WI
208000000X
Pediatrics Physician
Primary
42609
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672611900
—
MN
Enumeration date
02/17/2006
Last updated
08/29/2025
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