NPI 1528050929 · live from the CMS NPI Registry
George P. Boyum, M.D.
Specialist in Oak Park Heights, MN. National Provider Identifier 1528050929, active.
NPI record
| NPI | 1528050929 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 5803 Neal Ave N, Oak Park Heights, MN 55082 |
| Practice phone | 651-439-8807 |
| Enumerated | August 22, 2005 |
| Last updated | November 15, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist primary | 174400000X | 21557 (MN) |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | 21557 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.