Jennifer Boelter, M.D.
Family Medicine in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1487684098
StatusActive
Last updated in NPPESNov 23, 2010
Details
- NPI
- 1487684098
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Boelter
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Last updated
- Nov 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 41579 | MN | Yes |
Practice location
251 County Rd 120Saint Cloud, MN 56303-4665
Phone 320-202-8949 · Fax 320-202-0756
Mailing address
251 County Rd 120Saint Cloud, MN 56303-4665
Phone 320-202-8949 · Fax 320-202-0756
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