Organization
HIGH DESERT FOOT & ANKLE CLINIC A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WONSIK Y BOLLMANN DPM (OWNER/PODIATRIST)
(760) 951-1234
Entity
Organization
Contact information
Practice address
15366 11TH ST, SUITE A, VICTORVILLE, CA 92395-3726
(760) 951-1234
(760) 951-1611
Mailing address
15366 11TH ST, SUITE A, VICTORVILLE, CA 92395-3726
(760) 951-1234
(760) 951-1611
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3966
CA
Other
Enumeration date
05/14/2015
Last updated
06/25/2024
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