Individual
RAVIT BOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7070
(414) 337-7093
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7070
(414) 337-7093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508822297
—
WI
05
—
405693100
—
MD
Enumeration date
04/22/2006
Last updated
06/23/2021
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