Individual provider · Type 1 NPI
Stephen C. Bogue, DPM
Primary Podiatric Medicine Podiatrist · Madison, WI
NPI number
1184632341
Active
Practice location
6661 Odana Road
Madison, WI 53719
Fax (608) 829-1319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 730 (WI) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 730 (WI) |
| Foot Surgery Podiatrist | 213ES0131X | 730 (WI) |
Primary Podiatric Medicine Podiatrist: Definition to come...
Another provider at this address
About NPI 1184632341
Stephen C. Bogue, DPM's National Provider Identifier is 1184632341, issued on Aug 4, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Madison, WI. The record was last updated on May 20, 2010.