Individual
DR. PABLO G BOZOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 S 90TH ST, SUITE 306, WEST ALLIS, WI 53227
(414) 328-7146
Mailing address
2400 S 90TH ST, SUITE 306, WEST ALLIS, WI 53227
(414) 328-7146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46344
WI
208M00000X
Hospitalist Physician
Primary
46344
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34640600
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2023
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