Individual
DR. BROGAN EDWARD BAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 OLT AVE, PEKIN, IL 61554-6214
(309) 680-7600
Mailing address
2214 N UNIVERSITY ST, PEORIA, IL 61604-3221
(309) 680-7600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-158560
IL
Other
Enumeration date
05/16/2016
Last updated
03/07/2025
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