NPI 1013017813
Chris Peter Boosalis, CERTIFIEDPROSTHETIS
Practice location
- Address
- 6600 France Ave S Suite 162, Edina, MN 55435-1805
- Phone
- (952) 929-1051
- Fax
- (952) 929-9641
- Mailing address
- 4200 Dahlberg Dr Suite 300, Golden Valley, MN 55422-4840
Registered specialties
Prosthetist
Primary
Registry record
- NPI
- 1013017813
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Sep 2006
- Record last updated
- 5 Apr 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.