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1912916636
JACOB L BIDWELL
MILWAUKEE, WI
NPI
1912916636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 42673)
Enumeration Date
2006-08-05
Last Update Date
2023-03-07
Business Address
Dr. JACOB L BIDWELL MD
1230 GRANT ST
MILWAUKEE, WI 53213
Phone number: 414-286-8892
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Mailing Address
Dr. JACOB L BIDWELL MD
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-647-6326
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