Individual
MATTHEW T BOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8990
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74750
WI
2084P0804X
Child & Adolescent Psychiatry Physician
74750
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
01/10/2023
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