Individual
JEFFREY W. BOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-7176
Mailing address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-7176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R132188-5
MN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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