Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 106465 | MN |
N | 2080P0214X | Pediatric Pulmonologist | 20911 | WI |
N | 2080P0214X | Pediatric Pulmonologist | 34.007962 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 55862 | MN |
NPI | 1306927520 |
---|---|
Provider Name | Richard Paul Boesch |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 02/07/2021 |