Individual
MR. RONALD AUGUST BONAVENTURA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22432 HARPER LAKE AVE, SAINT CLAIR SHORES, MI 48080-4041
(586) 557-8398
Mailing address
22432 HARPER LAKE AVE, SAINT CLAIR SHORES, MI 48080-4041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286546
MI
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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