William G Bonzelet Md, Sc | |
7 157 Ctr Edwardsville IL 62025-3657 | |
(618) 659-2371 | |
(618) 659-2375 |
Full Name | William G Bonzelet Md, Sc |
---|---|
Speciality | Internal Medicine |
Location | 7 157 Ctr, Edwardsville, Illinois |
Authorized Official Name and Position | William G Bonzelet (OWNER) |
Authorized Official Contact | 6186592371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William G Bonzelet Md, Sc 7 157 Ctr Edwardsville IL 62025-3657 Ph: (618) 659-2371 | William G Bonzelet Md, Sc 7 157 Ctr Edwardsville IL 62025-3657 Ph: (618) 659-2371 |
NPI Number | 1487726782 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487726782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036091754 (Illinois) | Primary |
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