Bouc Family Wellness Center, LLC

NPI #1356520563 in Beloit, Wisconsin

Provider Information

NPI Number: 1356520563
Entity Type: Organization
Organization Name: Bouc Family Wellness Center, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 24, 2007
Last Updated: Apr 26, 2018

Practice Location

Address: 3005 RIVERSIDE DR
Address 2: SUITE 101
City: Beloit
State: Wisconsin
ZIP Code: 53511-1500
Phone: (608) 365-7200

Authorized Official

Name: DR. GEOFFREY T BOUC, M.D.
Title: PHYSICIAN
Phone: (608) 365-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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