Individual
JONATHON M BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8308
(414) 805-7890
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF OTOLARYNGOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8308
(414) 805-7890
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
34749
IA
207Y00000X
Otolaryngology Physician
Primary
52867
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306055868
—
WI
Enumeration date
05/22/2007
Last updated
02/08/2013
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