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Contact Information

BENJAMIN BONDOW, MD
7106 W NORTH AVE
WAUWATOSA, WI53213-1811
 Phone: 414-797-3551
 Fax: 262-244-5946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BENJAMIN BONDOW · (Male)

NPI # 1821478769
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2015
Last updated 12/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 51293
  • WI License # 71910-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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