IndividualActive
Jaclyn Bohm, DPM
NPI 1306005111 · Foot & Ankle Surgery Podiatrist · Rosemount, MN
Provider details
- NPI number
- 1306005111
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 842 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
15705 Cimarron Ave
Rosemount, MN 55068
Phone: (651) 322-8800
Fax: (651) 322-8840
Approximate (ZIP-level) locationGet directions
Mailing address
15075 Cimarron Ave
Rosemount, MN 55068-1635
Registry dates
- Enumerated
- 2008-06-06
- Last updated
- 2012-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.