Individual
DR. JOHN BONTRAGER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
121 N MILL ST, SUITE A, SAINT LOUIS, MI 48880-1522
(989) 681-6693
(989) 681-6693
Mailing address
124 N MILL ST, SUITE A, SAINT LOUIS, MI 48880-1521
(989) 681-6693
(989) 681-6693
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301004464
MI
Other
Enumeration date
04/23/2008
Last updated
01/17/2017
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