Individual
JOHN T. BJORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6830
(414) 955-6214
Mailing address
9200 W WISCONSIN AVE, GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 955-6830
(414) 955-6214
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18986
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538121512
—
WI
01
—
P00700737
RR MEDICARE
WI
Enumeration date
04/05/2006
Last updated
11/10/2014
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