Individual
KALE STEPHEN BONGERS
Active
Individual
KALE STEPHEN BONGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301117077
MI
207R00000X
Internal Medicine Physician
MD-52829
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-52829
IA
207RP1001X
Pulmonary Disease Physician
4301117077
MI
207RP1001X
Pulmonary Disease Physician
Primary
MD-52829
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301117077
MI
Other
Enumeration date
05/23/2016
Last updated
08/06/2024
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