Individual provider · Type 1 NPI

Randall A. Bostrom, MD

Family Medicine Physician · Mora, MN

NPI number 1396705083 Active

Practice location

331 Highway 65 S
Mora, MN 55051-1899

Call (320) 679-1313 Map

Fax (320) 225-3141

Mailing address

PO Box 43, Mr 10809
Minneapolis, MN 55440-0043

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X30066 (MN)

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 1396705083

Randall A. Bostrom, MD's National Provider Identifier is 1396705083, issued on Mar 25, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mora, MN. The record was last updated on Jul 13, 2026.