Individual
DR. DOUGLAS BOLDA
Active
Individual
DR. DOUGLAS BOLDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01048624A
IN
207X00000X
Orthopaedic Surgery Physician
77087
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391438
ANTHEM, BCBS
IN
05
—
1174519458
—
WI
05
—
200804530
—
IN
Enumeration date
09/22/2005
Last updated
01/20/2025
Update your record
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