Individual
BONITA H. GAWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
15774 STATE STREET, HILLMAN, MI 49746-8818
(989) 742-4583
(989) 742-4298
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 742-4583
(989) 742-4298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003552
MI
Other
Enumeration date
07/04/2006
Last updated
07/19/2010
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