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Dr. Jeffrey Joseph Bongiorno, DPM
Podiatrist in Port Washington, Wisconsin
NPI 1770599953

Jeffrey Joseph Bongiorno is a Podiatrist based in Grafton, WI. Jeffrey Joseph Bongiorno practices in Port Washington, WI and has the professional credentials of DPM. The NPI Number for Jeffrey Joseph Bongiorno is 1770599953 and holds a License No. 798025 (Wisconsin).

The current practice location address for Jeffrey Joseph Bongiorno is 1317 W Grand Ave, Port Washington, WI and can be reached out via phone at 262-284-8800 and via fax at 262-284-8861.

Location: 1317 W Grand Ave, Port Washington, WI, 53024-9102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770599953
Provider Name
Jeffrey Joseph Bongiorno
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1317 W Grand Ave, Port Washington, WI, 53024-9102
Phone Number
262-284-8800
Fax Number
262-284-8861
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00085509 01 RR MCR
41755100 05 WI
43227800 05 WI
4998210001 01 DMERC
institution
Provider Business Practice Location Address Details
Address
1317 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2075
Phone Number
262-284-8800
Fax Number
262-284-8861
person
Provider Business Mailing Address Details
Address
1317 W Grand Ave
City
Port Washington
State
Wisconsin
Zip
53074-2075
Phone Number
262-284-8800
Fax Number
262-284-8861
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
798025 (Wisconsin)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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