Department of Safety and Professional Services
Board of Medical Practice
David R Boulware
Medical - Physician And Surgeon
License number
44649
Date granted
07/13/2002
Date expires
04/30/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
MTRF 3-222, 2001 6th Street SE, Minneapolis, MN 55455
doctorsminnesota.org
ID 22163239
LAST UPDATED 2026-05-10 02:53:07 UTC
LAST UPDATED 2026-05-10 02:53:07 UTC
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