William G Bonzelet Md, Sc

NPI #1487726782 in Edwardsville, Illinois

Provider Information

NPI Number: 1487726782
Entity Type: Organization
Organization Name: William G Bonzelet Md, Sc
Primary Specialty: Internal Medicine
Enumeration Date: Nov 14, 2006
Last Updated: Feb 1, 2012

Practice Location

Address: 7 157 CTR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3657
Phone: (618) 659-2371

Authorized Official

Name: WILLIAM G BONZELET, MD
Title: OWNER
Phone: (618) 659-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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