Individual
DR. MICHAEL J BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 MCKNIGHT DR, MIDDLETOWN, OH 45044-4838
(513) 424-2111
Mailing address
PO BOX 640807, CINCINNATI, OH 45264-0801
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35051296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627512
—
OH
01
—
P00162478
RAILROAD MEDICARE
—
Enumeration date
12/07/2005
Last updated
06/06/2014
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