# GENERAL & VASCULAR SURGEONS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134211642
- **Authorized official:** DR. JOHN WILSON BOWMAN M.D. (PHYSICIAN)
- **Authorized official phone:** (414) 328-8080

## Contact information

- **Practice address:** 2424 S 90TH ST, STE 208, WEST ALLIS, WI 53227-2455
- **Practice address phone:** (414) 328-8080
- **Practice address fax:** (414) 328-8084
- **Mailing address:** 2424 S 90TH ST, STE 208, WEST ALLIS, WI 53227-2455
- **Mailing address phone:** (414) 328-8080
- **Mailing address fax:** (414) 328-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 16094 | WI | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 06/02/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32866400 | — | WI |