Individual
GEORGE BONEFELD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 485-4431
(906) 485-2504
Mailing address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 485-4431
(906) 485-2504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101006974
MI
207P00000X
Emergency Medicine Physician
Primary
5101006974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4177396
—
MI
01
—
GB006974
BLUE SHIELD
MI
Enumeration date
05/25/2006
Last updated
09/11/2025
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