Timothy Boonstra, RPH

NPI 1124393293 · on the registry since 2012 · sole proprietor

Practice

Address: 516 Delaware St Se
Suite 2-350
Minneapolis, MN 55455
Phone: (612) 626-2828
Organisation at this address: University Of Minnesota
Regents Of The University Of Minnesota
University Of Minnesota Department Of Ophthalmology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 202

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota