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Individual
MANISH BONDALE
Active
Individual
MANISH BONDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501006930
MI
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30069
BCBSM
—
05
—
404983397
—
MI
Enumeration date
07/04/2006
Last updated
03/19/2010
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