NPI 1164607909

Michelle R Bonness, M.D. S.C.

Organisation Plastic Surgery Physician Waukesha, WI

Practice location

Address: 20611 Watertown Rd Suite D, Waukesha, WI 53186-1871
Phone: (262) 782-7021
Fax: (262) 782-8738

Authorised official

Name: Julie a Quirk
Title: Practice Manager
Phone: (262) 782-7021

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Wisconsin →

Registry record

NPI: 1164607909
Entity type: Organization
NPI issued: 28 Dec 2007
Record last updated: 8 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.