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Individual

BRADLEY BOVEE SCHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
600 WOODSIDE DR, CORNELL, WI 54732-8003
(715) 239-6344
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2209-023
WI
363AM0700X
Medical Physician Assistant
924
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41947400
WI
Enumeration date
08/02/2005
Last updated
11/17/2022
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