Individual
WILLIAM FRANKLIN BODENHEIMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 SAINT PAUL ST, BOONSBORO, MD 21713-1334
(301) 432-0623
(301) 432-0624
Mailing address
9 SAINT PAUL STREET, BOONSBORO, MD 21713
(301) 432-0623
(301) 432-0765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0056826
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
864001700
—
MD
Enumeration date
04/05/2006
Last updated
09/28/2012
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