Individual
DR. MICHAEL JAMES BODMAN
Active
Individual
DR. MICHAEL JAMES BODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36003254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210952
BLUE CROSS AND BLUE SHIELD
OH
05
—
2250184
—
OH
01
—
341944827
AETNA
OH
01
—
480033770
RAILROAD MEDICARE
OH
Enumeration date
01/30/2006
Last updated
06/17/2020
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