Individual
MRS. BRIDGET ANTONIA BONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPN
Contact information
Practice address
3333 BIDDLE AVE, WYANDOTTE, MI 48192-6284
(734) 285-2405
Mailing address
30159 APPLE GROVE WAY, FLAT ROCK, MI 48134-2736
(734) 782-4095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704195983
MI
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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