Individual
EKKEHARD BONATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4517 SOUTHLAKE PKWY, SUITE 202, BIRMINGHAM, AL 35244-3280
(205) 985-4111
(205) 985-4326
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.11656
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD.11656
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05741
BCBS OF ALABAMA
AL
05
—
BO009982490
—
AL
Enumeration date
05/04/2006
Last updated
05/18/2023
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