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Individual

BONI-JO SILBERNAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
784-25
WI
213E00000X
Podiatrist
Primary
799
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609821495
MN
05
43244500
WI
Enumeration date
05/23/2006
Last updated
05/10/2011
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