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Organization
GENERAL & VASCULAR SURGEONS, S.C.
Active
Organization
GENERAL & VASCULAR SURGEONS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILSON BOWMAN M.D. (PHYSICIAN)
(414) 328-8080
Entity
Organization
Contact information
Practice address
2424 S 90TH ST, STE 208, WEST ALLIS, WI 53227-2455
(414) 328-8080
(414) 328-8084
Mailing address
2424 S 90TH ST, STE 208, WEST ALLIS, WI 53227-2455
(414) 328-8080
(414) 328-8084
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
16094
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32866400
—
WI
Enumeration date
09/29/2006
Last updated
06/02/2009
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