person
Dr. John L Bostanche, DPM
Foot & Ankle Surgery Podiatrist in Kenosha, Wisconsin
NPI 1821092420

John L Bostanche is a Foot & Ankle Surgery Podiatrist based in Kenosha, WI and is specialized in Foot & Ankle Surgery. John L Bostanche practices in Kenosha, WI and has the professional credentials of DPM. The NPI Number for John L Bostanche is 1821092420 and holds a License No. 654025 (Wisconsin).

The current practice location address for John L Bostanche is 6123 Green Bay Rd, Kenosha, WI and can be reached out via phone at 262-657-3668 and via fax at 262-652-0564.

Location: 6123 Green Bay Rd, Kenosha, WI, 53142-2939
person
Provider Profile Details
NPI Number
1821092420
Provider Name
John L Bostanche
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6123 Green Bay Rd, Kenosha, WI, 53142-2939
Phone Number
262-657-3668
Fax Number
262-652-0564
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43215000 05 WI
institution
Provider Business Practice Location Address Details
Address
6123 Green Bay Rd
City
State
Zip
53142-2939
Phone Number
262-657-3668
Fax Number
262-652-0564
person
Provider Business Mailing Address Details
Address
6123 Green Bay Rd
City
State
Zip
53142-2939
Phone Number
262-657-3668
Fax Number
262-652-0564
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
654025 (Wisconsin)
Definition
Definition to come...
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