Individual
MEGAN DUFFEY BONANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3100
Mailing address
380 KERBY RD, GROSSE POINTE FARMS, MI 48236-3141
(586) 601-6409
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301092524
MI
Other
Enumeration date
08/15/2008
Last updated
03/09/2020
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