Bonness, Michelle R

Bonness, Michelle R is an individual health care provider with primary practice located at 20320 W Greenfield Ave , Brookfield WI 53045-3737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bonness, Michelle R can be contacted via phone (262) 782-7021.

Contact Information

Primary practice address
20320 W Greenfield Ave Brookfield WI 53045-3737
Phone: (262) 782-7021
Fax: (262) 782-8738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 38739-020 Wisconsin

Profile Details

NPI number 1720183130
LBN Legal business name Bonness, Michelle R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720183130 NPPES
Wisconsin MEDICAID 32428700

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