Individual
PETER LOUIS BONO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 601, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Mailing address
22250 PROVIDENCE DR, SUITE 601, SOUTHFIELD, MI 48075-4825
(248) 569-7745
(248) 569-4539
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
5101012872
MI
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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