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Individual

WILLIAM R BOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1730 W 25TH ST, SUITE 3200, CLEVELAND, OH 44113-3108
(216) 621-4060
(216) 621-7322
Mailing address
1730 W 25TH ST, SUITE 3200, CLEVELAND, OH 44113-3108
(216) 621-4060
(216) 621-7322

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35035912
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000343859
ANTHEM BC/BS
OH
05
0335033
OH
01
340714684074
CARESOURCE
OH
01
350403
WELLCARE
OH
01
P00153933
RAILROAD CARE
OH
01
P00660953
RAILROAD MEDICARE
OH
Enumeration date
05/10/2006
Last updated
02/24/2009
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