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KEVIN HERBERT BOEGEL M.D.

Physicians Radiology Body Imaging

Provider NPI: 1669815320

Provider Information:
 KEVIN HERBERT BOEGEL M.D.
Gender: M
Sole Proprietor

Practice Location:
6500 EXCELSIOR BLVD  ST LOUIS PARK, MN 55426-4702 US
Tel: 952-993-1000  Fax: --

Business Mailing Address:
420 DELAWARE ST SE DIAGNOSTIC RADIOLOGY, MMC 292 MINNEAPOLIS, MN 55455-0341 US
Tel: 651-592-3931  Fax: --

NPI Information:
NPI: 1669815320
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085B0100XPhysicians
Radiology
Body Imaging
MN59081
Y2085R0202XPhysicians
Radiology
MN59081
N390200000XStudent
Organized Health Care Education/Training Program

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



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