Individual
ANNE MARIE BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 PHALEN BLVD # MS 41104A, SAINT PAUL, MN 55130
(651) 254-7980
(651) 254-7969
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
036121817
IL
208C00000X
Colon & Rectal Surgery Physician
47855
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
84332
WI
Other
Enumeration date
02/14/2006
Last updated
01/21/2026
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