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Individual
MARK J BOHLANDER
Active
Individual
MARK J BOHLANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G56360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56360
LICENSE
CA
Enumeration date
09/02/2006
Last updated
05/14/2014
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