Organization
BRIAN E. BOZELKA, MD SC
Active
Other names
Bay View Ophthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E BOZELKA MD PHD (OWNER)
(715) 732-4181
Entity
Organization
Contact information
Practice address
1400 UNIVERSITY DR, MARINETTE, WI 54143-5105
(715) 732-4181
Mailing address
1400 UNIVERSITY DR, MARINETTE, WI 54143-5105
(715) 732-4181
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32039400
—
WI
Enumeration date
10/03/2007
Last updated
10/05/2007
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