NPI
Justin Bohnsack
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- OD
- Type
- Individual
- Enumeration date
- 2024-06-10
- Last updated
- 2024-06-10
Specialties
Licenses
- License MN
- 3943
Location
- Practice location
- 1 Central Ave W Ste 104
- City
- Saint Michael MN
- Postal code
- 55376-4590
- Phone
- (375) 476-3497
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Saint Michael, MN. 230 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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