Individual
DR. JAKE D BAUWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
(414) 257-1772
Mailing address
2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
(414) 257-1772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
65967-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
07/30/2021
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