PETER J BOOSALIS

AMS MAPLE GROVE LLC

Dr PETER J BOOSALIS is a male medical professional, specializing in Anesthesiology. He graduated in 1991 from University Of Minnesota Medical School.

Contact

AMS MAPLE GROVE LLC

1900 SUNRISE DR
SAINT PETER
MN
560825376

Tel: 5079312200

PETER J BOOSALIS Information

Npi 1174577316
Pac Id 2264499151
Professional Enrollment Id I20100614000558
Last Name BOOSALIS
First Name PETER
Middle Name J
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1991
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AMS MAPLE GROVE LLC
Group Practice Pac Id 8527287762
Number Of Group Practice Members 9
Line 1 Street Address 1900 SUNRISE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT PETER
State MN
Zip Code 560825376
Phone Number 5079312200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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