NPI 1255860169

Mark David Bostrom, MD

Practitioner Family Medicine Physician New Richmond, WI

Practice location

Address: 535 Hospital Rd, New Richmond, WI 54017-1449
Phone: (715) 243-2600
Mailing address: 8170 33rd Ave S, Bloomington, MN 55425-4516

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 73969 (WI)

Other Family Medicine providers in Wisconsin →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 64340 (MN)

Registry record

NPI: 1255860169
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2017
Record last updated: 21 Jul 2022

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.