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Individual

THERESA ANN BONCYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(608) 263-8850
(608) 265-4340
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
263
WI

Other

Enumeration date
04/28/2006
Last updated
02/03/2009
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