Individual
JOSEPH EDWARD BOSILJEVAC JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2522 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 366-1151
Mailing address
2522 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 366-1151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-16711
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020000629
PALMETTO RR MEDICARE
KS
05
—
100084340A
—
KS
Enumeration date
08/10/2005
Last updated
07/07/2013
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