Individual
MITCHELL BONJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
212 N ROCHESTER ST, MUKWONAGO, WI 53149-1313
(262) 363-5235
Mailing address
212 N ROCHESTER ST, MUKWONAGO, WI 53149-1313
(262) 363-5235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12608-40
WI
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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