Individual
MS. BONNIE HAHN NEITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2402 HERRON RD, FRANKFORT, MI 49635-9157
(231) 920-0986
Mailing address
2402 HERRON ROAD, FRANKFORT, MI 49635
(231) 920-0986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704079367
MI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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