Individual
LIBERTY CHRISTINE BONESTROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455
(612) 624-8133
Mailing address
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
77026
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/07/2026
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