Individual
DR. HANA BONEFACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5710
(763) 586-5955
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43372
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003D2BO
BCBS OF MN
MN
01
—
1026176
PREFERRED ONE
MN
01
—
1199512
AMERICA'S PPO
MN
01
—
1201137
MEDICA
MN
01
—
151487
UCARE MN
MN
05
—
529168200
—
MN
01
—
6603951
MEDICA UC
MN
01
—
7075448
AETNA
MN
01
—
HP32337
HEALTHPARTNERS
MN
Enumeration date
04/04/2006
Last updated
03/21/2012
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