Individual
MS. BONNIE J MCCLUSKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(921) 831-0070
(921) 831-7939
Mailing address
W4799 SPRING HILL DR, SHERWOOD, WI 54169-9773
(920) 989-3011
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
77127-030
WI
Other
Enumeration date
06/21/2005
Last updated
07/08/2007
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