Individual
HARVEY MICHAEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, SUITE 530, WAUWATOSA, WI 53226-4216
(414) 443-0033
(414) 443-0034
Mailing address
201 N MAYFAIR RD, SUITE 530, WAUWATOSA, WI 53226-4216
(414) 443-0033
(414) 443-0034
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
18051
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30313600
—
WI
01
—
DC1411
MEDICARE ID TYPE UNSPECIF
WI
Enumeration date
02/23/2006
Last updated
04/04/2008
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