Individual
ANNA MARIE BONIAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 662-7127
Mailing address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
20463
NH
2086S0129X
Vascular Surgery Physician
Primary
MD23596
ME
390200000X
Student in an Organized Health Care Education/Training Program
4301102522
MI
Other
Enumeration date
05/14/2013
Last updated
06/16/2020
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