Organization
BAYVIEW DERMATOLOGY & COSMETIC SURGERY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL N BHATIA MD (PRESIDENT OWNER)
(414) 769-0040
Entity
Organization
Contact information
Practice address
3119 W CLEMENT AVE, SUITE 100, BAYVIEW, WI 53207
(414) 769-0040
(414) 769-0048
Mailing address
4555 WEST SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34443900
—
WI
Enumeration date
08/04/2006
Last updated
03/26/2008
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