NPI 1033203906

Mark Walter Bosbous

Practitioner Plastic Surgery Physician Milwaukee, WI

Practice location

Address: 9200 W Wisconsin Avenue Plastic Surgery, Milwaukee, WI 53226-3522
Phone: (414) 805-3666

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 49468-020 (WI)

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Registry record

NPI: 1033203906
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 27 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.