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

Randall J. Bolar, MD

Individual provider Surgery Physician · NPI 1558323246

Randall J. Bolar, MD is a Surgery Physician in Detroit Lakes, Minnesota. Licensed in Minnesota and Tennessee. Registered with an NPI since 2006.

Licensed in
MN, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 36945 (MN)
Surgery Physician Taxonomy 208600000X · Licence 34949 (TN)

Record details

NPI number1558323246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESDecember 23, 2015
Mailing address1027 Washington Ave, Detroit Lakes, MN 56501-3409

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