Individual
MICHELLE BONAPACE-POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(150) 349-4668
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
81225
MN
208200000X
Plastic Surgery Physician
Primary
PENDING
OR
Other
Enumeration date
03/18/2024
Last updated
02/16/2026
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