Individual
ZACHARY BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
15650 CEDAR AVE, APPLE VALLEY, MN 55124-7283
(952) 997-4100
Mailing address
1787 RANDOLPH AVE, SAINT PAUL, MN 55105-2157
(816) 217-5262
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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