Individual
NICOLAAS IDA BOHNEN
Active
Individual
NICOLAAS IDA BOHNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
4301067813
MI
207UN0902X
Nuclear Imaging & Therapy Physician
4301067813
MI
2084N0400X
Neurology Physician
4301067813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4806759
—
MI
Enumeration date
09/14/2006
Last updated
06/21/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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