RANDALL BOSTROM, MD

Family Medicine

Active Individual
NPI: 1396705083

Practice Address

331 HIGHWAY 65 S
Mora, MN 55051

Phone: (320) 679-1313

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 30066 (MN)

Frequently Asked Questions

NPI 1396705083 is the National Provider Identifier for RANDALL BOSTROM, MD, a Family Medicine provider located in Mora, MN. This NPI was enumerated on March 25, 2006.
RANDALL BOSTROM, MD practices at 331 HIGHWAY 65 S, Mora, MN 55051.

Quick Facts

NPI
1396705083
Type
Individual
Enumerated
Mar 25, 2006
Last Updated
Jul 8, 2007

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