# BRIAN E. BOZELKA, MD SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bay View Ophthalmology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659568657
- **Authorized official:** DR. BRIAN E BOZELKA MD PHD (OWNER)
- **Authorized official phone:** (715) 732-4181

## Contact information

- **Practice address:** 1400 UNIVERSITY DR, MARINETTE, WI 54143-5105
- **Practice address phone:** (715) 732-4181
- **Mailing address:** 1400 UNIVERSITY DR, MARINETTE, WI 54143-5105
- **Mailing address phone:** (715) 732-4181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/05/2007

## Other identifiers

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