Organization
DERMATOLOGY CENTER OF OXFORD, P.C.
Active
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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