Individual
DAVID BOLLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5752 TOKAY BLVD, MADISON, WI 53719-1237
(608) 417-8050
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11697-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025789
—
WI
Enumeration date
09/18/2012
Last updated
12/29/2014
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