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Search › Wisconsin › 207P00000X

Benjamin Genesis Bautista, MD

NPI 1396051561 · on the registry since 2010

Practice

Address
855 N Westhaven Dr
Oshkosh, WI 54904
Phone
(920) 456-7400
Organisation at this address
Lakeside Neurocare
Aurora Pharmacy Inc
Aurora Medical Group Inc
Aurora Medical Group, Inc.
Aurora Medical Center Of Oshkosh, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
346

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
Licence states on file
WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin