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Organization
BLUESTONE PHYSICIAN SERVICES WISCONSIN SC
Active
Organization
BLUESTONE PHYSICIAN SERVICES WISCONSIN SC
Active
Other names
Bluestone
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON CLARK (CEO)
(480) 518-1333
Entity
Organization
Contact information
Practice address
342 N WATER ST STE 600, MILWAUKEE, WI 53202-5715
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
08/07/2026
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