Individual
KODJO MARTIAL BOSSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51060
MN
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
51060
MN
Other
Enumeration date
04/25/2007
Last updated
09/25/2024
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