Dr. Brian E Bozelka
Ophthalmologist
1400 University Drive
Marinette
, Wisconsin 54143-0046
Dr. Brian E Bozelka
Ophthalmologist
1400 University Drive
Marinette
, Wisconsin 54143-0046
(715) 732-1348
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Brian E Bozelka
- 164 N Broadway
- Green Bay, WI
- Zip : 54303-2728
- Fax : (715) 732-1348
- Phone : (715) 732-4181
Second Address
- Dr. Brian E Bozelka
- 1400 University Drive
- Marinette, WI
- Zip : 54143-0046
- Fax : (715) 732-1348
- Phone : (715) 732-4181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 35480020 | WI |
National Provider Identifier
| NPI | 1003981994 |
|---|---|
| Provider Name | Dr. Brian E Bozelka |
| First Address | Green Bay, WI 54303-2728 |
| Second Address | Marinette, WI 54143-0046 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2006 |
| Last Update Date | 09/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32039400 | (05) | WI |
| F82117 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.