Individual
DR. ALBERT HENRY BONNEMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 384-4847
Mailing address
2171 HUNTERS RIDGE BLVD, BEAVERCREEK, OH 45434-7088
(210) 722-7412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-06-7903-B
OH
2083C0008X
Clinical Informatics Physician
Primary
35.067903
OH
2083P0901X
Public Health & General Preventive Medicine Physician
35.067903
OH
Other
Enumeration date
05/02/2006
Last updated
11/02/2021
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