Healthcare Provider Details

I. General information

NPI: 1033282967
Provider Name (Legal Business Name): JOSE G. ARAUJO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11803 W NORTH AVE
WAUWATOSA WI
53226-2077
US

IV. Provider business mailing address

2420 S GRAYLOG LN
NEW BERLIN WI
53151-2924
US

V. Phone/Fax

Practice location:
  • Phone: 414-258-5522
  • Fax: 414-258-1337
Mailing address:
  • Phone: 262-641-0083
  • Fax: 262-522-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number28823-20
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number28823
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number28823-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: