Individual
BRUCE H BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
(262) 532-7602
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26636
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30720800
—
WI
01
—
P00452783
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
11/24/2021
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