Individual
DR. LOREN D BOSMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 CHICAGO AVE, STE. 250, MINNEAPOLIS, MN 55407-1318
(612) 863-4096
(612) 863-2132
Mailing address
2800 CHICAGO AVE. SOUTH, STE. 250, MINNEAPOLIS, MN 55407-1321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173216100
—
MN
Enumeration date
12/28/2005
Last updated
12/02/2011
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