# WISCONSIN BONE & JOINT S C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WISCONSIN BONE & JOINT S C
- **Other names:** WISCONSIN BONE AND JOINT S C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760013890
- **Legal business name:** WISCONSIN BONE & JOINT S C
- **Authorized official:** DALE E BAUWENS MD (MEDICAL DOCTOR)
- **Authorized official phone:** (414) 257-2525

## Contact information

- **Practice address:** 525 W RIVER WOODS PKWY STE 130, GLENDALE, WI 53212-1010
- **Practice address phone:** (414) 961-0304
- **Practice address fax:** (414) 961-2061
- **Mailing address:** 2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
- **Mailing address phone:** (414) 257-2525
- **Mailing address fax:** (414) 257-1772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 01/28/2020