Individual
MICHAEL BONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3125 N ALTADENA AVE, ROYAL OAK, MI 48073-3516
(248) 693-1572
Mailing address
3125 N ALTADENA AVE, ROYAL OAK, MI 48073-3516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704362050
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704362050
MI
Other
Enumeration date
05/24/2023
Last updated
09/08/2025
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