Cody Wayne Bohlke, IDMT

NPI #1336499938 in Great Falls, Montana

Provider Information

NPI Number: 1336499938
Entity Type: Individual
Name: Cody Wayne Bohlke, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Sep 12, 2012
Last Updated: Sep 12, 2012

Practice Location

Address: 1009 BRIARWOOD CT
City: Great Falls
State: Montana
ZIP Code: 59405
Phone: (406) 781-5579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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