Individual
MICHAEL A BONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1085 LOWER RIDGEWAY, ELM GROVE, WI 53122-2155
(715) 563-1527
Mailing address
1085 LOWER RIDGEWAY, ELM GROVE, WI 53122-2155
(715) 563-1527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1845-24
WI
Other
Enumeration date
09/10/2014
Last updated
09/24/2014
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