Individual
CHRISTINE BONAMICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 N BLAIR AVE, ROYAL OAK, MI 48067-1437
(734) 309-0283
Mailing address
1416 N BLAIR AVE, ROYAL OAK, MI 48067-1437
(734) 309-0283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601009184
MI
363A00000X
Physician Assistant
Primary
61438
CA
Other
Enumeration date
05/23/2019
Last updated
11/21/2022
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