Organization
MICHELLE R BONNESS, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE A QUIRK (PRACTICE MANAGER)
(262) 782-7021
Entity
Organization
Contact information
Practice address
20611 WATERTOWN RD, SUITE D, WAUKESHA, WI 53186-1871
(262) 782-7021
(262) 782-8738
Mailing address
20611 WATERTOWN RD, SUITE D, WAUKESHA, WI 53186-1871
(262) 782-7021
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
01/08/2008
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