Most Relevant Information
Provider Data
NPI Number: | 1003259854 |
Provider Name: | MICHAEL BOLD M.D. |
Entity Type: | Individual |
Taxonomy Code: | 2085R0202X |
Specialty: | Radiology |
License Number: | 58302 |
Most Important Dates
Enumeration Date: | 04/11/2013 |
Last Updated: | 08/12/2020 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
Phone: | 5072842511 |
Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
Phone: | 5072842511 |
Fax: |