Individual
JOSHUA ALAN BODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF UROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 805-0771
Mailing address
10000 W INNOVATION DR, SUITE 300, MILWAUKEE, WI 53226-4837
(414) 456-5006
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
50381
MN
208800000X
Urology Physician
Primary
54482
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083769517
—
WI
Enumeration date
01/24/2007
Last updated
08/13/2010
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