Individual
HAKKI BOLUKOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-4600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35479
WI
207RC0000X
Cardiovascular Disease Physician
MD-068377-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017715330005
—
PA
05
—
1356341176
—
WI
05
—
2190212
—
OH
05
—
3810002098
—
WV
Enumeration date
07/22/2005
Last updated
10/02/2024
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