Individual
ALEC THOMAS BONIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546-8816
(616) 267-7758
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301513405
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4301513405
MI
Other
Enumeration date
03/24/2020
Last updated
07/31/2025
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