Boulware, David Robert

Boulware, David Robert is an individual health care provider with primary practice located at 420 Delaware St Se Mmc 250, Minneapolis MN 55455-0341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Boulware, David Robert can be contacted via phone (612) 625-7634.

Contact Information

Primary practice address
420 Delaware St Se Mmc 250 Minneapolis MN 55455-0341
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 44649 Minnesota

Profile Details

NPI number 1225181290
LBN Legal business name Boulware, David Robert
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Jun 5th, 2012 - about 12 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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