Whalio Doctors

NPI 1043701527

Amanda Leigh Boozalis, MD

Practitioner Obstetrics & Gynecology Physician Minneapolis, MN

Practice location

Address
3270 W Lake St, Minneapolis, MN 55416-4512
Phone
(612) 775-1800
Fax
(612) 775-1805
Mailing address
2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties (3)

Obstetrics & Gynecology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 74462 (MN)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 01087868A (IN)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1043701527
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 May 2018
Record last updated
2 Nov 2023

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.