Individual
CHARLES A BOMZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27566
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00823709
RR MEDICARE
WI
Enumeration date
11/02/2005
Last updated
12/17/2021
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