Organization
WISCONSIN BONE & JOINT S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE E BAUWENS MD (PRESIDENT)
(414) 257-2525
Entity
Organization
Contact information
Practice address
2500 NORTH MAYFAIR RD, SUITE 500, WAUWATOSA, WI 53226
(414) 257-2525
(414) 257-1772
Mailing address
2500 NORTH MAYFAIR RD, SUITE 500, WAUWATOSA, WI 53226
(414) 257-2525
(414) 257-1772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32897200
—
WI
Enumeration date
08/14/2006
Last updated
01/24/2020
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