Individual
NICHOLAS MICHAEL BONTUMASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S BEACON BLVD STE 160, GRAND HAVEN, MI 49417-2654
(616) 268-2001
(616) 268-2002
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R-09922
IA
Other
Enumeration date
04/08/2013
Last updated
02/28/2022
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