Individual
ULYSSES SALVADOR BOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8090
(715) 732-8015
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(715) 732-8090
(715) 732-8015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74999
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167738
—
WI
Enumeration date
06/21/2018
Last updated
11/23/2021
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