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Randall J. Bolar, MD
Surgery Physician in Detroit Lakes, Minnesota
NPI 1558323246

Randall J. Bolar is a Surgery Physician based in Detroit Lakes, MN. Randall J. Bolar practices in Detroit Lakes, MN and has the professional credentials of MD. The NPI Number for Randall J. Bolar is 1558323246 and holds a License No. 34949 (Minnesota).

The current practice location address for Randall J. Bolar is 1027 Washington Ave, Detroit Lakes, MN and can be reached out via phone at 218-847-5611 and via fax at 218-847-0881.

Location: 1027 Washington Ave, Detroit Lakes, MN, 56501-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558323246
Provider Name
Randall J. Bolar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1027 Washington Ave, Detroit Lakes, MN, 56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1515147 05 TN
TN0125 01 TN AMERICHOICE
203500913011 01 TN TRICARE
000000069481 01 KY ANTHEM BC
10802394 01 CAQH
1558323246 05 MN
01281517 01 TN AMERIGROUP
4221186 01 TN BCBS
64357130 05 KY
7774037 01 KY AETNA
3338849 05 TN
institution
Provider Business Practice Location Address Details
Address
1027 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider Business Mailing Address Details
Address
1027 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
34949 (Tennessee)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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