Individual
HAROLD W BOCCHECIAMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
Mailing address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43381
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34126000
—
WI
Enumeration date
09/07/2005
Last updated
07/08/2007
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