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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM STEPHEN BODANSKE, MD

Active Sole Proprietor

WILLIAM STEPHEN BODANSKE, MD is a Internal Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1427039973 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SPRINGFIELD, MO

Registration Details

NPI Number
1427039973
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2005 (20.613955986615 yrs)
Last Updated
Mar 14, 2020
Licenses
R7046 (MO)
04-23716 (KS)
R7046 (MO)
04-23716 (KS)
Sole Proprietor
Yes

Practice Information

Address
2419 S CLAREMONT CIR
SPRINGFIELD, MO, 658044123
Browse MO providers · Browse ZIP 65804
Phone
4178814859
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in SPRINGFIELD, MO

Name Credential NPI
DR. JAMES L GODARD DO 1558366724
MS. DIANA LEE WOLFE M.D. 1477546539
MRS. OLEVIA M PITTS M.D. 1447244884
FREDERICK N LOBATI M.D. 1306823273
REGGIE L. GEORGE M.D. 1396723292
DR. WILLIAM A BAIRD DO 1194798512
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.