| 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 |
|---|---|
| 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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