Individual
DR. GREGORY A BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 MAPLE ST STE 200, TAWAS CITY, MI 48763-9352
(989) 984-3788
(989) 984-3794
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-9411
(989) 362-9925
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036089196
IL
208600000X
Surgery Physician
Primary
29059
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174597702
—
IA
05
—
3091884
—
IA
01
—
38079
BCWELLMARK
—
01
—
IA01X1
JOHN DEERE
—
Enumeration date
02/13/2006
Last updated
07/21/2022
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