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Individual

MICHAEL JASON BOHNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 E 109TH AVE, CROWN POINT, IN 46307
(219) 921-1444
(219) 921-5303
Mailing address
8483 HICKORY HILL TRL, MOORESVILLE, IN 46158-8238
(317) 771-6822

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
10003172
IN

Other

Enumeration date
11/24/2020
Last updated
05/05/2021
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