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Bradley T Bodner, PA-C
Surgical Physician Assistant in Wausau, Wisconsin
NPI 1093767808

Bradley T Bodner is a Surgical Physician Assistant based in Wausau, WI and is specialized in Surgical. Bradley T Bodner practices in Wausau, WI and has the professional credentials of PA-C. The NPI Number for Bradley T Bodner is 1093767808 and holds a License No. 1312-023 (Wisconsin).

The current practice location address for Bradley T Bodner is 2800 Westhill Dr, Wausau, WI and can be reached out via phone at 715-843-1000.

Location: 2800 Westhill Dr, Wausau, WI, 54402-3770
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093767808
Provider Name
Bradley T Bodner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2800 Westhill Dr, Wausau, WI, 54402-3770
Phone Number
715-843-1000
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41923000 05 WI
institution
Provider Business Practice Location Address Details
Address
2800 Westhill Dr
City
Wausau
State
Wisconsin
Zip
54401-3771
Phone Number
715-843-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2800 Westhill Dr
City
Wausau
State
Wisconsin
Zip
54401-3771
Phone Number
715-843-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
1312-023 (Wisconsin)
Definition
Definition to come...
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