Individual provider · NPI-1

Jonathan Bodager, M.D.

Internal Medicine · Waukesha, WI

NPI number1386006815
StatusActive
Last updated in NPPESSep 13, 2023

Details

NPI
1386006815
Entity type
Individual (NPI-1)
Name
Jonathan Bodager
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2016
Certification date
Sep 13, 2023
Last updated
Sep 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine70761WIYes

Practice location

725 American Ave
Waukesha, WI 53188-5031

Phone 262-928-5400

Mailing address

725 American Ave
Waukesha, WI 53188-5031

Phone 262-928-5400

Other practice locations

791 Summit Ave
Oconomowoc, WI 53066-3896

Phone 262-569-0259

240 Maple Ave
Mukwonago, WI 53149-8475

Phone 262-521-7761

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