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Contact Information

KARLA G MYHRA BLOOM, MD
709 17TH ST N
SARTELL, MN56377
 Phone: 320-259-0120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for KARLA G MYHRA BLOOM · (Female)

NPI Number 1700831690
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 08/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35072
  • MN Medicaid 706860300
  • WI Medicaid 32423300
  • MN Other 1421754 AMERICA'S PPO
  • MN Other 56G37BL BLUE CROSS
  • MN Other 96D61MY BLUE CROSS
  • MN Other 9238143 DAKOTA CARE
  • MN Other HP33809 HEALTHPARTNERS
  • MN Other 1600536 MEDICA
  • MN Other 253804 MIDLANDS CHOICE INC
  • MN Other 1016709 PREFERRED ONE
  • MN Other 300124849 RAILROAD MEDICARE MN
  • MN Other 127385 UCARE
  • WI Other 300099552 RAILROAD MEDICARE WI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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