Individual
CHARLES H BONISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5319 W HILLSDALE AVE, VISALIA, CA 93291-5118
(559) 732-1648
(559) 732-0664
Mailing address
5319 W HILLSDALE AVE, VISALIA, CA 93291-5118
(559) 732-1648
(559) 732-0664
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G46993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G469930
—
CA
Enumeration date
09/02/2005
Last updated
02/26/2008
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