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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WONSIK Y BOLLMANN, D.P.M

Deactivated

DR. WONSIK Y BOLLMANN, D.P.M is a Podiatrist healthcare provider located in VICTORVILLE, California. NPI 1578556742 is deactivated in the NPPES registry. Verify at CMS.

Podiatrist · VICTORVILLE, CA

This NPI has been deactivated. The record was deactivated on March 27, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1578556742
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2005 (0.59178082191781 yrs)
Last Updated
Jan 9, 2017
Deactivated
Mar 27, 2006
License
E3966 (CA)

Practice Information

Address
15366 11TH ST
SUITE A
VICTORVILLE, CA, 923953726
Browse CA providers · Browse ZIP 92395
Phone
7609511234
Fax
7609511611
Primary Specialty
Podiatrist
213E00000X

Other Podiatrist Providers in VICTORVILLE, CA

Name Credential NPI
MR. MICHAEL THOMAS HICKEY D.P.M. 1861576142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.