Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark S Bostwick, MD

Individual provider Internal Medicine Physician · NPI 1487686614

Mark S Bostwick, MD is an Internal Medicine Physician in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1777 W Grand Ave
Port Washington, WI 53074
Phone: (262) 284-3456
Fax: (262) 284-4543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 22296 (WI)

Record details

NPI number1487686614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021
Mailing address3003 W Good Hope Road, Milwaukee, WI 53209

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