Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter J Boosalis, MD

Individual provider Anesthesiology Physician · NPI 1174577316

Peter J Boosalis, MD is an Anesthesiology in Stillwater, Minnesota. Graduated from University of Minnesota Medical School in 1991, 35 years ago. Practices with Dpi of Georgia LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
35
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

927 Churchill St W
Stillwater, MN 55082-6605
Phone: (651) 430-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 41145 (MN)

Record details

NPI number1174577316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESJuly 13, 2026
Mailing address14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1991 (35 years in practice)
Group practice Dpi Of Georgia Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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