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Organization
BONZER MEDICAL, LLC
Active
Organization
BONZER MEDICAL, LLC
Active
Other names
Bonzer Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LOUISE CRAMER OFFICE MANANGER (OFFICE MANAGER)
(765) 653-8453
Entity
Organization
Contact information
Practice address
4423 S COUNTY ROAD 125 E, GREENCASTLE, IN 46135-9237
(765) 653-8453
(765) 653-8493
Mailing address
4423 S COUNTY ROAD 125 E, GREENCASTLE, IN 46135-9237
(765) 653-8453
(765) 653-8493
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002904A
—
IN
05
—
200521550
—
IN
Enumeration date
04/29/2020
Last updated
04/29/2020
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