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Individual

MR. IVICA BOBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-4950
(414) 325-4951
Mailing address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-4950
(414) 325-4951

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53424-20
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
53424-20
WI

Other

Enumeration date
07/31/2009
Last updated
07/23/2014
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