Individual
KATELYN E BONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1489
(734) 853-5694
Mailing address
37595 7 MILE RD STE 210, LIVONIA, MI 48152-1489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351045481
MI
Other
Enumeration date
06/19/2019
Last updated
07/12/2022
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