Individual
DR. MICHAEL BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1613
Mailing address
336 MOLIMO DR, SAN FRANCISCO, CA 94127-1620
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A103191
CA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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