Individual
MISS MIHAELLA BISEROVA BOZADJIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
6108
MN
363L00000X
Nurse Practitioner
6108
MN
363L00000X
Nurse Practitioner
Primary
9011
WI
Other
Enumeration date
09/04/2018
Last updated
08/03/2021
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