Individual
FRANK BONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3830 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-2051
(866) 645-5578
(888) 528-0919
Mailing address
3830 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-2051
(866) 645-5578
(888) 528-0919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301060835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4281939
—
MI
01
—
770002984
TRAVELERS
MI
Enumeration date
10/17/2006
Last updated
09/20/2010
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