Individual
DR. MARY J BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 E 1ST ST, STE 303, DULUTH, MN 55805-2201
(218) 249-6050
(218) 249-6055
Mailing address
920 E 1ST ST, STE 303, DULUTH, MN 55805-2201
(218) 249-6050
(218) 249-6055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38670
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
33516
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201716400
—
MN
Enumeration date
05/16/2006
Last updated
08/07/2024
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