Organization
G P BOYUM MD PLLC
Active
Organization
G P BOYUM MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PETER BOYUM MD (OWNER)
(651) 439-6845
Entity
Organization
Contact information
Practice address
2275 OVERLOOK CT N, STILLWATER, MN 55082-1566
(651) 439-6845
Mailing address
2275 OVERLOOK CT N, STILLWATER, MN 55082-1566
(651) 439-6845
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
21557
MN
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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