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Individual

DAVID D BOGENRIEF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2030 PINEHURST DR, MIDDLETON, WI 53562
(608) 203-2273
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23673
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40359700
WI
Enumeration date
11/01/2007
Last updated
03/29/2019
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