Individual
DR. BONNIE ANNE KORYTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
W3124 VAN ROY RD, APPLETON, WI 54915-3929
(920) 730-2747
Mailing address
W3124 VAN ROY RD, APPLETON, WI 54915-3929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72653-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K400769234
—
WI
Enumeration date
04/05/2018
Last updated
09/23/2021
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