Individual
MIKEL KARL BOFENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4700
(952) 993-5000
Mailing address
150 12TH AVE NW, NEW BRIGHTON, MN 55112-7357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118314
MN
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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