Individual
JONATHAN BODAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
Mailing address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70761
WI
Other
Enumeration date
03/23/2016
Last updated
09/13/2023
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