Individual
THOMAS BONIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 48105-9750
(734) 786-4940
Mailing address
4188 LAKESHORE RD, BOYNE CITY, MI 49712-9676
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2330
WI
207L00000X
Anesthesiology Physician
Primary
4301066975
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103350746
—
MI
Enumeration date
05/25/2006
Last updated
09/18/2023
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