Individual
JOHN A BAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
43785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042503
PHYSICIANS PLUS
—
01
—
15300226
MEDICARE PART B
—
01
—
34157700
HIRSP
—
05
—
34157700
—
WI
01
—
390808509
CIGNA
—
01
—
390808509CT
UNITY
—
01
—
690004890
MEDICARE RAILROAD
—
01
—
DEAN HEALTH PLAN
13434
—
01
—
P00034839
MEDICARE RAILROAD
—
Enumeration date
07/20/2006
Last updated
12/28/2020
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