ERIK R BOSTROM — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, MN)
ERIK R BOSTROM — Medicare Enrolled Provider (PRACTITIONER - FAMILY PRACTICE, MN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: ERIK R BOSTROM; Type: Individual; NPI: 1003250655.
| Name | ERIK R BOSTROM |
|---|---|
| Type | Individual |
| NPI | 1003250655 |
| Provider type | PRACTITIONER - FAMILY PRACTICE |
| State | MN |
| Enrollment ID | I20160820000171 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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