Individual
DR. PHYLLIS MARIE BONIFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E LIBERTY ST, SUITE #11, ANN ARBOR, MI 48104-2118
(734) 717-7702
Mailing address
201 E LIBERTY ST, SUITE #11, ANN ARBOR, MI 48104-2118
(734) 717-7702
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301053738
MI
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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