Individual
BLAKE BONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(989) 839-3000
Mailing address
4363 S 4 MILE RD, BAY CITY, MI 48706-9254
(989) 277-1924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039879
MI
Other
Enumeration date
02/06/2024
Last updated
01/13/2026
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