Individual
KARLA GAY MYHRA-BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
709 17TH ST N, SARTELL, MN 56377
(320) 259-0120
Mailing address
709 17TH ST N, SARTELL, MN 56377-1631
(320) 259-0120
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016709
PREFERRED ONE
MN
01
—
127385
UCARE
MN
01
—
1421754
AMERICA'S PPO
MN
01
—
1600536
MEDICA
MN
01
—
253804
MIDLANDS CHOICE INC
MN
01
—
300099552
RAILROAD MEDICARE WI
WI
01
—
300124849
RAILROAD MEDICARE MN
MN
05
—
32423300
—
WI
01
—
56G37BL
BLUE CROSS
MN
05
—
706860300
—
MN
01
—
9238143
DAKOTA CARE
MN
01
—
96D61MY
BLUE CROSS
MN
01
—
HP33809
HEALTHPARTNERS
MN
Enumeration date
05/23/2006
Last updated
08/14/2018
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