Individual
CRYSTAL GRACE BOCKOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8443
(608) 262-7174
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.069585
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A168960
CA
Other
Enumeration date
07/27/2016
Last updated
02/21/2022
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