# DR. BRIAN E BOZELKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003981994
- **Gender:** Man
- **Credential:** MD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35480020 | WI | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 03/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32039400 | — | WI |