Individual
JOHN BODENSTEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
105489
MN
2084N0400X
Neurology Physician
Primary
22772
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
29447
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577421
—
AZ
Enumeration date
08/18/2006
Last updated
09/13/2011
Update your record
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