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Dr. Amanda Leigh Boozalis, MD
Obstetrics & Gynecology Physician in Minneapolis, Minnesota
NPI 1043701527

Amanda Leigh Boozalis is a Obstetrics & Gynecology Physician based in Minneapolis, MN. Amanda Leigh Boozalis practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Amanda Leigh Boozalis is 1043701527 and holds a License No. 01087868A (Minnesota).

The current practice location address for Amanda Leigh Boozalis is 3270 W Lake St, Minneapolis, MN and can be reached out via phone at 612-775-1800 and via fax at 612-775-1805.

Location: 3270 W Lake St, Minneapolis, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043701527
Provider Name
Amanda Leigh Boozalis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3270 W Lake St, Minneapolis, MN, 55407-1321
Phone Number
612-775-1800
Fax Number
612-775-1805
Provider Enumeration Date
05/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3270 W Lake St
City
Minneapolis
State
Minnesota
Zip
55416-4512
Phone Number
612-775-1800
Fax Number
612-775-1805
person
Provider Business Mailing Address Details
Address
3270 W Lake St
City
Minneapolis
State
Minnesota
Zip
55416-4512
Phone Number
612-775-1800
Fax Number
612-775-1805
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01087868A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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