Individual
JOHN M BOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-3040
(920) 623-2244
Mailing address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-3040
(920) 623-2244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26753
WI
2080A0000X
Pediatric Adolescent Medicine Physician
26753
WI
Other
Enumeration date
05/07/2017
Last updated
05/07/2017
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