Individual
JAMES E. BODOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2037
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2037
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44932
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-00293
MEDICA
MN
01
—
27G29BO
BCBS MN FACILITY
MN
05
—
43282000
—
WI
01
—
64Q23BO
BCBS MN PRO FEE
MN
05
—
843042000
—
MN
01
—
HP10148
HEALTHPARTNERS
MN
01
—
NA9031006543
PREFERRED ONE
MN
Enumeration date
10/24/2006
Last updated
09/06/2012
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