Individual
BOBBIEJO PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2835 N GRANDVIEW BLVD, SUITE 100, PEWAUKEE, WI 53072-5546
(262) 574-2711
(262) 574-5193
Mailing address
2835 N GRANDVIEW BLVD, SUITE 100, PEWAUKEE, WI 53072-5546
(262) 574-2711
(262) 574-5193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5651-33
WI
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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