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1093779688
ERIK BONIFAS
MADISON, WI
NPI
1093779688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 1146-23)
Enumeration Date
2006-04-12
Last Update Date
2021-02-12
Business Address
ERIK BONIFAS PA C
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-7540
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Mailing Address
ERIK BONIFAS PA C
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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