Individual
DR. WILLIAM BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14255 STARK RD, LIVONIA, MI 48154-5460
(734) 679-0534
Mailing address
14695 GARLAND AVE, PLYMOUTH, MI 48170-2512
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2301401330
MI
Other
Enumeration date
01/12/2023
Last updated
02/15/2023
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