Individual
BONNYLIN COVEY VAN WINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(828) 719-7782
Mailing address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P32558
MD
Other
Enumeration date
05/12/2016
Last updated
02/17/2020
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