Wisconsin Bone & Joint S C

NPI #1760013890 in Glendale, Wisconsin

Provider Information

NPI Number: 1760013890
Entity Type: Organization
Organization Name: Wisconsin Bone & Joint S C
Subpart: Yes (part of a larger organization)
Parent Organization: WISCONSIN BONE & JOINT S C
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 28, 2020
Last Updated: Jan 28, 2020

Practice Location

Address: 525 W RIVER WOODS PKWY STE 130
City: Glendale
State: Wisconsin
ZIP Code: 53212-1010
Phone: (414) 961-0304

Authorized Official

Name: DALE E BAUWENS, MD
Title: MEDICAL DOCTOR
Phone: (414) 257-2525

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