Individual
DR. MICHAEL CHARLES BODEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1662 HIGDON FERRY RD, SUITE 200, HOT SPRINGS, AR 71913-6912
(501) 623-2781
(501) 623-1774
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 623-2781
(501) 623-1774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5631
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102442001
—
AR
Enumeration date
04/12/2006
Last updated
06/28/2016
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