Individual
KEVIN JOHN BOHNSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7575 GRAND RIVER RD STE 210, BRIGHTON, MI 48114-9379
(810) 844-7950
(810) 494-6895
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301072357
MI
Other
Enumeration date
10/14/2005
Last updated
02/14/2025
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