Individual
GEOFFREY R BODEAU
Active
Individual
GEOFFREY R BODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
29842
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533448
—
IA
01
—
1006999
PREFERRED ONE
MN
01
—
108789
UCARE
MN
01
—
22825
AMERICA'S PPO
MN
01
—
232903
MIDLANDS CHOICE INC
MN
01
—
300046433
RAILROAD MEDICARE WI
WI
05
—
32385300
—
WI
01
—
47Q34BO
BLUE CROSS
MN
01
—
4T045BO
BLUE CROSS
MN
05
—
794265600
—
MN
01
—
9253416
DAKOTA CARE
MN
01
—
HP12925
HEALTHPARTNERS
MN
01
—
P00126385
RAILROAD MEDCIARE MN
MN
Enumeration date
05/16/2006
Last updated
07/19/2023
Update your record
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