Individual
STEPHEN C BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6661 ODANA ROAD, MADISON, WI 53719
(608) 829-2535
(608) 829-1319
Mailing address
6661 ODANA ROAD, MADISON, WI 53719
(608) 829-2535
(608) 829-1319
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
730
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
730
WI
213ES0131X
Foot Surgery Podiatrist
730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43221700
—
WI
Enumeration date
08/04/2006
Last updated
05/20/2010
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