Individual
DR. DANIEL E BONBRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DO
Contact information
Practice address
28050 GRAND RIVER AVE, ATTN.: MEDICAL ADMINISTRATION, FARMINGTON HILLS, MI 48336-5919
(248) 888-2658
Mailing address
28050 GRAND RIVER AVE, ATTN.: MEDICAL ADMINISTRATION, FARMINGTON HILLS, MI 48336-5919
(248) 888-2658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006738
MI
Other
Enumeration date
06/24/2006
Last updated
11/06/2007
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