Individual
STEPHANIE BONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(866) 389-2727
Mailing address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704367523
MI
Other
Enumeration date
09/09/2019
Last updated
07/19/2021
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