| Katherine Bougie, | |
|
2301 N Lake Dr, Milwaukee, WI 53211-4508 | |
| (414) 585-1000 | |
| Not Available |
| Full Name | Katherine Bougie |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2301 N Lake Dr, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114615895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Bougie, W142n10576 Magnolia Dr, Germantown, WI 53022-6217 Ph: (414) 507-6199 | Katherine Bougie, 2301 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 585-1000 |
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