Individual
DR. BRADLEY RICHARD BOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
202 PLUM RD. STE A, STE 4, WRIGHTSTOWN, WI 54180-1253
(920) 532-6450
Mailing address
202 PLUM RD. STE A, WRIGHTSTOWN, WI 54180-1253
(920) 532-6450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3807-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389-36600
—
WI
Enumeration date
07/01/2005
Last updated
05/24/2018
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