Individual
DR. MICHELLE R BONNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20320 W GREENFIELD AVE, BROOKFIELD, WI 53045-3737
(262) 782-7021
(262) 782-8738
Mailing address
20320 W GREENFIELD AVE, BROOKFIELD, WI 53045-3737
(262) 782-7021
(262) 782-8738
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
38739-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32428700
—
WI
Enumeration date
09/13/2006
Last updated
08/02/2011
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