Individual
DR. DAVID DIRK BONNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-3500
(231) 672-6199
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301096046
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301096046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F10016
BCBS/BCN GROUP NUMBER
MI
01
—
P00942559
RAILROAD MEDICARE
MI
Enumeration date
10/31/2006
Last updated
05/19/2015
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