Bucholtz, Gerald

Bucholtz, Gerald is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Bucholtz, Gerald can be contacted via phone (715) 387-5186.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 22629 Wisconsin

Profile Details

NPI number 1497863385
LBN Legal business name Bucholtz, Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497863385 NPPES
Wisconsin MEDICAID 31701400

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