Individual
SARKIS BOLISAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 TENTH STREET, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Mailing address
508 TENTH STREET, WORTHINGTON, MN 56187-2343
(507) 372-2921
(507) 372-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41815
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02S35BO
BCBS MN
MN
05
—
0517417
—
IA
01
—
110185119
RR MEDICARE
MN
01
—
128044
UCARE
MN
05
—
580823500
—
MN
Enumeration date
10/03/2006
Last updated
05/09/2024
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