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Contact Information

JUSTIN B BOGE, DO
1836 SOUTH AVE
LA CROSSE, WI54601-5429
 Phone: 608-782-7300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JUSTIN B BOGE · (Male)

NPI # 1427037423
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/10/2006
Last updated 05/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # D.O. 44224-021
Hospital affiliation(s)
  • GUNDERSEN LUTH MED CTR - (Acute Care)
    1910 SOUTH AVE
    LA CROSSE, WI 54601
  • PALMER LUTHERAN HEALTH CENTER - (Critical Access)
    112 JEFFERSON STREET
    WEST UNION, IA 52175
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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