Individual
SETH BODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA-ST MARYS FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Mailing address
1121 E NORTH AVE, COLUMBIA-ST MARYS FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6502
(414) 267-3892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62553
WI
Other
Enumeration date
06/30/2011
Last updated
07/22/2014
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