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Individual

CHRISTINE M BOCKHORN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7734
Mailing address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-7734

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33468
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31837900
WI
Enumeration date
09/07/2005
Last updated
07/08/2007
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