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NPISignal

Individual Healthcare Provider

Mark Walter Bosbous

NPI Record: ActivePlastic Surgery
NPI1033203906
Milwaukee, Wisconsin

Provider's NPPES record last updated: November 27, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1033203906
Primary Specialty
Plastic Surgery
Practice Location
Milwaukee, Wisconsin
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 9:16 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Plastic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

    Taxonomy code 208200000X

Provider-Reported License Information

Plastic Surgery (Wisconsin)
49468-020
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

9200 W Wisconsin Avenue

Plastic Surgery

Milwaukee, Wisconsin 53226-3522

Phone: (414) 805-3666

Additional Practice Location

W180n8085 Town Hall Rd

Menomonee Falls, Wisconsin 53051-3518

Phone: (262) 257-5100

Fax: (262) 253-7081

Additional Practice Location

3200 Pleasant Valley Rd

Plastic Surgery

West Bend, Wisconsin 53095-9274

Phone: (262) 836-7300

Fax: (262) 836-7301

Additional Practice Location

4805 S Moorland Rd

New Berlin, Wisconsin 53151-7401

Phone: (262) 798-7200

Fax: (262) 798-7201

Record Information

Enumeration Date
October 3, 2006
Provider's NPPES Record Last Updated
November 27, 2019
NPISignal NPPES Dataset
August 2026

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