Organization
WISCONSIN BONE & JOINT S C
Active
Parent organization
WISCONSIN BONE & JOINT S C
Other names
WISCONSIN BONE AND JOINT S C
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISCONSIN BONE & JOINT S C
Authorized official
DALE E BAUWENS MD (MEDICAL DOCTOR)
(414) 257-2525
Entity
Organization
Contact information
Practice address
525 W RIVER WOODS PKWY STE 130, GLENDALE, WI 53212-1010
(414) 961-0304
(414) 961-2061
Mailing address
2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
(414) 257-2525
(414) 257-1772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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