Individual
COLLEEN BONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3237 S 16TH ST, RADIOLOGY DEPT. 2ND FLOOR, MILWAUKEE, WI 53215-4526
(414) 647-5132
Mailing address
2646 N LAKE DR, MILWAUKEE, WI 53211-3837
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
44540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34237300
—
WI
Enumeration date
05/04/2006
Last updated
11/24/2021
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