Individual
BRADLEY A BOURKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 TOWNLINE RD, MINOCQUA, WI 54548-9099
(715) 358-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34488-020
WI
208600000X
Surgery Physician
34488-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32094100
—
WI
Enumeration date
06/28/2006
Last updated
04/27/2021
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