Individual
JOSEPH A LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2500 N MAYFAIR RD STE 630, WAUWATOSA, WI 53226-1428
(262) 202-8312
(414) 973-2870
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(262) 202-8312
(414) 973-2870
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
53594-21
WA
Other
Enumeration date
03/31/2008
Last updated
09/24/2019
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