NPI | 1649399080 |
---|---|
Former Legal Business Name | DRS. MEISTER AND BONFIGLIO, S.C. |
Entity Type | Organization |
Authorized Contact | ANTHONY BONFIGLIO Owner Physician 262-240-0440 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-08-31 |