Individual provider · Type 1 NPI
Jaclyn J. Bohm, DPM
Foot & Ankle Surgery Podiatrist · Rosemount, MN
NPI number
1306005111
Active
Practice location
15705 Cimarron Ave
Rosemount, MN 55068
Fax (651) 322-8840
Mailing address
15075 Cimarron Ave
Rosemount, MN 55068-1635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 842 (MN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1306005111
Jaclyn J. Bohm, DPM's National Provider Identifier is 1306005111, issued on Jun 6, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Rosemount, MN. The record was last updated on Jul 25, 2012.