Organization
BONZER MEDICAL, LLC
Active
Other names
Bonzer Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LOUISE CRAMER OFFICE MANANGER (OFFICE MANAGER)
(765) 653-8453
Entity
Organization
Contact information
Practice address
4423 S COUNTY ROAD 125 E, GREENCASTLE, IN 46135-9237
(765) 653-8453
(765) 653-8493
Mailing address
4423 S COUNTY ROAD 125 E, GREENCASTLE, IN 46135-9237
(765) 653-8453
(765) 653-8493
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002904A
—
IN
05
—
200521550
—
IN
Enumeration date
04/29/2020
Last updated
04/29/2020
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