Individual
ANTHONY ULISSES BONILLA-SALMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
965 WILSON RD RM A233, EAST LANSING, MI 48824-6410
(517) 353-4362
Mailing address
3039 TRAPPERS COVE TRL APT 3A, LANSING, MI 48910-8514
(213) 429-8090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351055154
MI
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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