IndividualActive
Abram Bonneville, PA-S
NPI 1003590027 · Physician Assistant · Manitowoc, WI
Provider details
- NPI number
- 1003590027
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- No
- License
- 7426 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1409 Hazelwood Dr
Manitowoc, WI 54220-1607
Phone: (608) 843-6117
Approximate (ZIP-level) locationGet directions
Mailing address
1409 Hazelwood Dr
Manitowoc, WI 54220-1607
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-07-28
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.