Organization
BLUESTONE VBC WI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIV PATEL MD (CEO)
(314) 852-9479
Entity
Organization
Contact information
Practice address
342 N WATER ST STE 600, MILWAUKEE, WI 53202-5715
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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