Individual provider · Type 1 NPI
Bradley T. Bodner, PA-C
Surgical Physician Assistant · Wausau, WI
NPI number
1093767808
Active
Practice location
2800 Westhill Dr, Suite 200
Wausau, WI 54401-3771
Mailing address
2800 Westhill Drive, Suite 200
Wausau, WI 54402-3770
Other practice locations
- 1000 N Oak Ave, Marshfield, WI 54449-5703 · (715) 387-5511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1312-023 (WI) |
Surgical Physician Assistant: Definition to come...
4 other providers at this address
- Cherry Tree Dental, LLCGeneral Practice Dentistry Wausau, WI NPI 1861547754
- Christopher Matthew LehanPhysician Assistant Wausau, WI NPI 1932704749
- Emmanuel Esianor, PHYSICIAN ASSISTANTPhysician Assistant Wausau, WI NPI 1548545189
- Terence R. Lichtor, MDNeurological Surgery Physician Wausau, WI NPI 1114976289
Other surgical physician assistant providers in Wausau
- Robert E. Kollpainter, PA-CSurgical Physician Assistant Wausau, WI NPI 1144249210
- Kimberly Marie Kuphal, PASurgical Physician Assistant Wausau, WI NPI 1922536218
- Jeffrey Terrence Ambord, PA-CSurgical Physician Assistant Wausau, WI NPI 1942292396
- Ellen A. Humberston, PA-CSurgical Physician Assistant Wausau, WI NPI 1952961633
About NPI 1093767808
Bradley T. Bodner, PA-C's National Provider Identifier is 1093767808, issued on May 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wausau, WI. The record was last updated on Dec 15, 2021.