Individual provider · Type 1 NPI

Bo Bagenholm, MD

Gynecology Physician · The Villages, FL

NPI number 1548566904 Active

Practice location

1704 Duffy Loop
The Villages, FL 32162-4093

Call (352) 350-2530 Map

Fax (352) 350-2530

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XME24950 (FL)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1548566904

Bo Bagenholm, MD's National Provider Identifier is 1548566904, issued on Feb 2, 2011. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in The Villages, FL. The record was last updated on Feb 2, 2011.