Michelle R Bonness, M.d. S.c.

NPI #1164607909 in Waukesha, Wisconsin

Provider Information

NPI Number: 1164607909
Entity Type: Organization
Organization Name: Michelle R Bonness, M.d. S.c.
Primary Specialty: Plastic Surgery
Enumeration Date: Dec 28, 2007
Last Updated: Jan 8, 2008

Practice Location

Address: 20611 WATERTOWN RD
Address 2: SUITE D
City: Waukesha
State: Wisconsin
ZIP Code: 53186-1871
Phone: (262) 782-7021

Authorized Official

Name: MS. JULIE A QUIRK
Title: PRACTICE MANAGER
Phone: (262) 782-7021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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