Individual
KATHERINE BOUGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
W142N10576 MAGNOLIA DR, GERMANTOWN, WI 53022-6217
(414) 507-6199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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