NPI 1225529654

Sampson Kwabina Boham, DO

Practitioner Anatomic Pathology & Clinical Pathology Physician Fond Du Lac, WI

Practice location

Address: 430 E Division St, Fond Du Lac, WI 54935-4597
Phone: (920) 926-5800
Mailing address: 350 W 11th St, Indianapolis, IN 46202-4108

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 81031-21 (WI)

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Registry record

NPI: 1225529654
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2018
Record last updated: 24 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.