Bostrom, Bruce C

Bostrom, Bruce C is an individual health care provider with primary practice located at 2525 Chicago Ave S Childrens Specialty Clinic Hematology Oncology Mpls, Minneapolis MN 55404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bostrom, Bruce C can be contacted via phone (612) 813-5940.

Contact Information

Primary practice address
2525 Chicago Ave S Childrens Specialty Clinic Hematology Oncology Mpls Minneapolis MN 55404
Phone: (612) 813-5940
Fax: (612) 813-6325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26111 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 26111 Minnesota

Profile Details

NPI number 1982679817
LBN Legal business name Bostrom, Bruce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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