Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS BODMER, M.D.
ActiveNICHOLAS BODMER, M.D. is a Diagnostic Radiology healthcare provider located in MINOCQUA, Wisconsin. NPI 1588820542 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · MINOCQUA, WI
Registration Details
- NPI Number
- 1588820542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2008 (18.08261931125 yrs)
- Last Updated
- Dec 10, 2020
- Licenses
-
ML 60095646 (WA)64102 (WI)
Practice Information
- Address
-
9576 WI-70MINOCQUA, WI, 54548Browse WI providers · Browse ZIP 54548
- Phone
- 7153581275
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in MINOCQUA, WI
| Name | Credential | NPI |
|---|---|---|
| JAMES E TOMIC | MD | 1134174873 |
| DAI WEI ZHANG | MD | 1871693143 |
| JEREMIAH J. LIBBY | DO | 1184045213 |
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.