Individual
BONNIE C THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
444 E TIMBER DR, RHINELANDER, WI 54501-2852
(715) 342-7765
Mailing address
444 E TIMBER DR, RHINELANDER, WI 54501-2852
(715) 342-7765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1786
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41996600
—
WI
Enumeration date
06/08/2006
Last updated
03/12/2019
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