Provider Demographics
NPI:1831486828
Name:BUBOLZ, AARON H (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:H
Last Name:BUBOLZ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2845 GREENBRIER RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-6519
Mailing Address - Country:US
Mailing Address - Phone:920-288-8100
Mailing Address - Fax:920-288-8668
Practice Address - Street 1:2845 GREENBRIER RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-6519
Practice Address - Country:US
Practice Address - Phone:920-288-8100
Practice Address - Fax:920-288-8668
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
WI658912084N0400X
MN593392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology