KENNETH T BASTIN

MILWAUKEE, WI
NPI1457393431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: WI  30541)
Enumeration Date2006-06-12
Last Update Date2023-09-15
Business Address
KENNETH T BASTIN MD
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4330
Phone number: 414-649-6420
Mailing Address
KENNETH T BASTIN MD
11516 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092-3441
Phone number: 262-241-5040
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