Individual
MICHAEL BOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5100 PRAIRIE PKWY STE 106, CEDAR FALLS, IA 50613-8155
(319) 222-2906
Mailing address
2115 GRAND BLVD, CEDAR FALLS, IA 50613-4760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23859
IA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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