Individual
BENJAMIN BONDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7106 W NORTH AVE, WAUWATOSA, WI 53213-1811
(414) 797-3551
(262) 244-5946
Mailing address
7106 W NORTH AVE, WAUWATOSA, WI 53213-1811
(414) 797-3551
(262) 244-5946
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
51293
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
71910-20
WI
Other
Enumeration date
06/05/2015
Last updated
12/03/2024
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