ANTONINO BOMMARITO

GREEN BAY, WI
NPI1396416053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  5614)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-09-22
Last Update Date2024-09-26
Business Address
ANTONINO BOMMARITO PA-C
1110 KEPLER DR
GREEN BAY, WI 54311-8306
Phone number: 920-288-5555
Mailing Address
ANTONINO BOMMARITO PA-C
1035 KEPLER DR
GREEN BAY, WI 54311-8320
Phone number: 920-490-9046