Individual
VERA BOCOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2727 PLAZA DR, WAUSAU, WI 54401
(715) 847-3563
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
47309
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34575500
—
WI
Enumeration date
09/08/2006
Last updated
11/23/2021
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