Jack Scott Bontekoe
Jack Scott Bontekoe is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.
- Licensed in
- WI
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Madison, WINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 76574-20 (WI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1568081578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 9, 2020 |
| Last updated in NPPES | January 14, 2022 |
| Certification date | January 14, 2022 |
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