Individual
MEGAN BOCCHICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(949) 939-3479
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
85235-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
04/15/2021
Last updated
03/03/2026
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