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Individual

ANGELA KATHRYN BOHLKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
MD153871
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.201620
LA

Other

Enumeration date
12/17/2007
Last updated
11/29/2022
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