Organization
DERMATOLOGY CENTER OF OXFORD, P.C.
Active
Other names
Oxford Dermcenter, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HENRY BONINO JR. D.O. (PHYSICIAN/PRESIDENT)
(248) 390-0435
Entity
Organization
Contact information
Practice address
2227 ROCK VALLEY RD, SUITE A, METAMORA, MI 48455-9333
(248) 390-0435
Mailing address
2227 ROCK VALLEY RD, SUITE A, METAMORA, MI 48455-9333
(248) 390-0435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101010573
MI
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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