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Alexa Jordan Bonneville, MD
Student in an Organized Health Care Education/Training Program in Appleton, Wisconsin
NPI 1942051701

Alexa Jordan Bonneville is a Student in an Organized Health Care Education/Training Program based in Appleton, WI. Alexa Jordan Bonneville practices in Appleton, WI and has the professional credentials of MD. The NPI Number for Alexa Jordan Bonneville is 1942051701 and holds a License No. (Wisconsin).

The current practice location address for Alexa Jordan Bonneville is 229 S Morrison St, Appleton, WI and can be reached out via phone at 920-832-2783.

Location: 229 S Morrison St, Appleton, WI, 54911-5725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942051701
Provider Name
Alexa Jordan Bonneville
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
229 S Morrison St, Appleton, WI, 54911-5725
Phone Number
920-832-2783
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
229 S Morrison St
City
Appleton
State
Wisconsin
Zip
54911-5725
Phone Number
920-832-2783
Fax Number
person
Provider Business Mailing Address Details
Address
229 S Morrison St
City
Appleton
State
Wisconsin
Zip
54911-5725
Phone Number
920-832-2783
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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