Bodemer, William S.

Bodemer, William S. is an individual health care provider with primary practice located at 5320 W Michaels Dr , Appleton WI 54913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bodemer, William S. can be contacted via phone (920) 882-8200.

Contact Information

Primary practice address
5320 W Michaels Dr Appleton WI 54913
Phone: (920) 882-8200
Fax: (920) 882-8210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X TL1091 Wyoming
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44737 Wisconsin

Profile Details

NPI number 1497705370
LBN Legal business name Bodemer, William S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497705370 NPPES
Wisconsin MEDICAID 100011384

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