Abram Richard Bonneville, PA-S
Abram Richard Bonneville, PA-S is a Physician Assistant in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
1409 Hazelwood DrManitowoc, WI 54220-1607
Phone: (608) 843-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 7426 (WI) |
|---|
Record details
| NPI number | 1003590027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-S |
| Sole proprietor | No |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 26, 2023 |
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