NPI 1902078801

Joseph a Locke, DO

Practitioner General Practice Physician Wauwatosa, WI

Practice location

Address: 2500 N Mayfair Rd STE 630, Wauwatosa, WI 53226-1428
Phone: (262) 202-8312
Fax: (414) 973-2870
Mailing address: PO Box 639, Thiensville, WI 53092-0639

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 53594-21 (WA)

Other General Practice providers in Wisconsin →

Registry record

NPI: 1902078801
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2008
Record last updated: 24 Sep 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.