Individual
DR. MARK ROBERT BOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
310 E MAIN ST, MOUNT HOREB, WI 53572-2082
(608) 437-5000
(608) 437-5019
Mailing address
310 E MAIN ST, MOUNT HOREB, WI 53572-2082
(608) 437-5000
(608) 437-5019
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1561012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38907800
—
WI
Enumeration date
10/14/2005
Last updated
11/07/2012
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