Individual
BONNIE LYNN BOBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-5219
(414) 219-5960
Mailing address
1020 N 12TH ST, 2ND FLOOR, MILWAUKEE, WI 53233-1308
(414) 219-5219
(414) 219-5960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57050
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031408
—
WI
Enumeration date
04/09/2010
Last updated
11/23/2021
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