Individual
RAJASEKHAR BODICHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57474
WI
208000000X
Pediatrics Physician
57.012843
OH
208000000X
Pediatrics Physician
57474
WI
Other
Enumeration date
04/16/2008
Last updated
07/03/2013
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