Individual
BRUCE C BOSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE S, CHILDRENS SPECIALTY CLINIC HEMATOLOGY ONCOLOGY MPLS, MINNEAPOLIS, MN 55404
(612) 813-5940
(612) 813-6325
Mailing address
2910 CENTRE POINTE DR, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26111
MN
2080P0207X
Pediatric Hematology & Oncology Physician
26111
MN
Other
Enumeration date
02/22/2006
Last updated
09/11/2025
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