DR. Michael Lawrence Bosquez, D.C., CCEP

NPI #1285632901 in Omro, Wisconsin

Provider Information

NPI Number: 1285632901
Entity Type: Individual
Name: DR. Michael Lawrence Bosquez, D.C., CCEP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C., CCEP
Enumeration Date: Jul 7, 2005
Last Updated: Jun 6, 2013

Practice Location

Address: 836 WILLOW ST
City: Omro
State: Wisconsin
ZIP Code: 54963-9373
Phone: (920) 685-3015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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