NPI 1003981994 · live from the CMS NPI Registry
Brian E Bozelka, MD PhD
Ophthalmology in Marinette, WI. National Provider Identifier 1003981994, active.
NPI record
| NPI | 1003981994 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1400 University Drive, Marinette, WI 54143 |
| Practice phone | 715-732-4181 |
| Mailing address | 164 N Broadway, Green Bay, WI 54303 |
| Enumerated | November 24, 2006 |
| Last updated | March 9, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 35480020 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.