DR. John L Bostanche, D.P.M.

NPI #1821092420 in Kenosha, Wisconsin

Provider Information

NPI Number
1821092420
Entity Type
Individual
Name
DR. John L Bostanche, D.P.M.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Credential
D.P.M.
Enumeration Date
Jun 10, 2005
Last Updated
May 5, 2010

Practice Location

Address
6123 GREEN BAY RD
Address 2
STE 100
ZIP Code
53142-2939
Phone
(262) 657-3668

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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Organizations

Provider Name
Patel Foot & Ankle LLC

Part of Great Lakes Foot & Ankle Centers INC

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