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Michael Bourne, MD

NPI 1164412649 · on the registry since 2005

Practice

Address
1500 Curve Crest Blvd W
Stillwater, MN 55082
Phone
(651) 439-1234
Fax
(651) 275-3325
Organisation at this address
Jjel,Llc
Group Health, Inc.
Group Health Plan, Inc
Stillwater Medical Group
Stillwater Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
171

Registry record

Primary taxonomy
213E00000X
213E00000X
Also registered as
213ES0103X
213E00000X
213ES0103X
Licence states on file
WI, MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota