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NPI Code Detail

MEDICARE: ALLON HOWARD BOSTWICK M.D.

MEDICARE: ALLON HOWARD BOSTWICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician22295WI
2207P00000XEmergency Medicine Physician22295WI

General Provider Information

NPI Number : 1497705990
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLON HOWARD BOSTWICK M.D.
Provider Business Mailing Address
First Line : 333 E 2ND ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-1914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 333 E 2ND ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-1914
Country : US
Telephone Number : 608-647-6321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/15/2008

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Directions to “ ALLON HOWARD BOSTWICK M.D.” Practice Location

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