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Individual

AUSTIN J. BOYLE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1575 N RIVERCENTER DR, SUITE 160, MILWAUKEE, WI 53212-3978
(414) 274-7220
(414) 274-7227
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
26921
WI
207X00000X
Orthopaedic Surgery Physician
Primary
26921
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30722800
WI
01
P00671014
RR MEDICARE
WI
Enumeration date
12/29/2005
Last updated
11/24/2021
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