Individual
DR. STEVEN RICHARD BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E SUPERIOR ST, SUITE L101, DULUTH, MN 55802-2207
(218) 249-3081
Mailing address
1001 E SUPERIOR ST, SUITE L101, DULUTH, MN 55802-2207
(218) 249-3081
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35581
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679408400
—
MN
01
—
P00221166
MEDICARE RR
MN
Enumeration date
05/11/2006
Last updated
03/28/2017
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