Individual
ERIC BOCKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2216 DEER RUN NE, NORTH LIBERTY, IA 52317-9357
(630) 373-4322
Mailing address
2216 DEER RUN NE, NORTH LIBERTY, IA 52317-9357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
073747
IA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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