Individual
DR. JOHN LUTHER BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14020 HWY 13 S STE 350, SAVAGE, MN 55378-7103
(952) 395-2500
Mailing address
14020 HWY 13 S STE 350, SAVAGE, MN 55378-7103
(952) 395-2500
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
56270
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609035781
—
MN
Enumeration date
06/04/2008
Last updated
11/17/2022
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