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Individual

HENRY GRADY BONE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22201 MOROSS RD, STE 260, DETROIT, MI 48236-2175
(313) 640-7700
(313) 640-1740
Mailing address
22201 MOROSS RD, STE 260, DETROIT, MI 48236-2175
(313) 640-7700
(313) 640-1740

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
43010582239
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4090552
MI
Enumeration date
06/16/2005
Last updated
07/08/2007
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