Individual
BONNIE L GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532-3638
(810) 342-1340
(810) 342-1335
Mailing address
401 S BALLENGER HWY, ATTN SURGICAL SERVICES, FLINT, MI 48532-3638
(810) 342-1340
(810) 342-1335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704130198
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701379
—
MI
01
—
430008935
TRAVELERS MEDICARE
MI
01
—
BG130198
BLUE SHIELD
MI
Enumeration date
02/09/2006
Last updated
12/11/2014
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