Individual
DR. GWENDOLYN MARIA BETHENIS HOBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
66949
WI
208600000X
Surgery Physician
2009014205
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780812925
—
WI
Enumeration date
06/25/2009
Last updated
08/17/2018
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