Individual
BOZENA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11203 N BUNTROCK AVE, MEQUON, WI 53092-1857
(262) 238-8988
(262) 238-0819
Mailing address
574 ROSEDALE DR, THIENSVILLE, WI 53092-1358
(262) 512-0973
(262) 512-0973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37239-020
WI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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