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General NPI Number Information
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NPI Number | 1518917871
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Entity Type | Individual
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Provider Name | WILLIAM R BOHL MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 1730 W 25TH ST SUITE 3200
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City | CLEVELAND
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State | OH
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Zip | 44113-3108
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Country | US
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Telephone | 216-621-4060
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Fax | 216-621-7322
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Provider Business Mailing Address
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Address Line | 1730 W 25TH ST SUITE 3200
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City | CLEVELAND
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State | OH
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Zip | 44113-3108
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Country | US
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Telephone | 216-621-4060
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Fax | 216-621-7322
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35035912
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License Number State | OH
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