Organization
MARTA BONKOWSKI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA Z. BONKOWSKI (PHYSICIAN)
(810) 733-0822
Entity
Organization
Contact information
Practice address
5105 W BRISTOL RD, FLINT, MI 48507-2921
(810) 733-0822
(810) 733-5567
Mailing address
5105 W BRISTOL RD, FLINT, MI 48507-2921
(810) 733-0822
(810) 733-5567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301056493
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881705382
INDIVIDUAL NPI NUMBER
MI
Enumeration date
06/01/2007
Last updated
02/18/2010
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