Individual
DR. JOAN M BEDINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, PLANK ROAD CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37418
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000105N
HUMANA
—
05
—
1780635136
—
WI
Enumeration date
05/12/2006
Last updated
01/29/2013
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