# GEOFFREY R BODEAU

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

## Provider details

- **NPI number:** 1770534372
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | 29842 | MN | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 07/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0533448 | — | IA |
| 01 | — | 1006999 | PREFERRED ONE | MN |
| 01 | — | 108789 | UCARE | MN |
| 01 | — | 22825 | AMERICA'S PPO | MN |
| 01 | — | 232903 | MIDLANDS CHOICE INC | MN |
| 01 | — | 300046433 | RAILROAD MEDICARE WI | WI |
| 05 | — | 32385300 | — | WI |
| 01 | — | 47Q34BO | BLUE CROSS | MN |
| 01 | — | 4T045BO | BLUE CROSS | MN |
| 05 | — | 794265600 | — | MN |
| 01 | — | 9253416 | DAKOTA CARE | MN |
| 01 | — | HP12925 | HEALTHPARTNERS | MN |
| 01 | — | P00126385 | RAILROAD MEDCIARE MN | MN |