Individual provider · Type 1 NPI

Mark David Bostrom, MD

Family Medicine Physician · New Richmond, WI

NPI number 1255860169 Active

Practice location

535 Hospital Rd
New Richmond, WI 54017-1449

Mailing address

8170 33rd Ave S
Bloomington, MN 55425-4516

Other practice locations

  • 330 N 8th Ave E, Duluth, MN 55805-2024 · (218) 723-1112
  • 640 Jackson St, St. Paul, MN 55101-2502 · (651) 439-1234

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X64340 (MN)
Family Medicine Physician Primary 207Q00000X73969 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1255860169

Mark David Bostrom, MD's National Provider Identifier is 1255860169, issued on Jun 6, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New Richmond, WI. The record was last updated on Jul 21, 2022.