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NPI Code Detail

MEDICARE: DR. LAUREN THOMAIER BOLLINGER MD

MEDICARE: DR. LAUREN THOMAIER BOLLINGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology Physician65572MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NONEOTHERNONE

General Provider Information

NPI Number : 1639418452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN THOMAIER BOLLINGER MD
Provider Business Mailing Address
First Line : 910 E 26TH ST STE 200
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-4552
Country : US
Telephone Number : 612-884-6300
Fax Number :
Provider Business Practice Location Address
First Line : 910 E 26TH ST STE 200
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-4552
Country : US
Telephone Number : 612-884-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2013
Last Update Date : 06/14/2022

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