Theodore Bonner MD

NPI 1992852891 - Internal Medicine - 207R00000X

NPI Details
NPI 1992852891
Gender Male
Enumeration Date 01/04/2007
Last Updated 06/10/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
8200 W SILVER SPRING DR
MILWAUKEE WI, 53218-2552, US
Phone (414) 760-3900
Fax
Business Location
2555 N MARTIN LUTHER KING DR
MILWAUKEE WI, 53212-2709, US
Phone (414) 372-8080
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Wisconsin
License Number 29912
Remove 1992852891 NPI Number
 

According to our database, Theodore Bonner MD NPI is 1992852891, taxonomy code is 207R00000X and license number is 29912, license state is located at Wisconsin. Theodore Bonner MD physically located at 8200 W Silver Spring Dr, Milwaukee WI, 53218-2552. NPI Number Theodore Bonner MD has the Individual type.

Sponsored links

1992852891 NPI number is provided on an as is basis without warranty of any kind. 1992852891 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Bonner MD are for informational purposes only.