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Contact Information

WILLIAM S BODANSKE, MD
2419 S CLAREMONT CIR
SPRINGFIELD, MO65804-4123
 Phone: 417-881-4859
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM S BODANSKE · (Male)

NPI Number 1427039973
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 03/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 04-23716
  • MO License # R7046
  • KS Medicaid 100124600B
  • MO Medicaid 200657195
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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