Individual
WILLIAM S. BODEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5320 W MICHAELS DR, APPLETON, WI 54913
(920) 882-8200
(920) 882-8210
Mailing address
5320 W MICHAELS DR, APPLETON, WI 54913-8446
(920) 882-8200
(920) 882-8200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44737
WI
207X00000X
Orthopaedic Surgery Physician
TL1091
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100011384
—
WI
Enumeration date
05/11/2006
Last updated
10/06/2022
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