Individual
DR. TED ARTHUR BONEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 CANTERBURY CT STE B, WATERLOO, IA 50702-5705
(319) 595-1181
Mailing address
3640 CANTERBURY CT STE B, WATERLOO, IA 50702-5705
(319) 595-1181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32655
IA
Other
Enumeration date
05/28/2013
Last updated
01/30/2023
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