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1487686614
MARK S BOSTWICK
PORT WASHINGTON, WI
NPI
1487686614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 22296)
Enumeration Date
2006-07-07
Last Update Date
2021-11-24
Business Address
MARK S BOSTWICK MD
1777 W GRAND AVENUE
PORT WASHINGTON, WI 53074
Phone number: 262-284-3456
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Mailing Address
MARK S BOSTWICK MD
3003 W GOOD HOPE ROAD
MILWAUKEE, WI 53209
Phone number: 414-352-3100
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