Individual
DR. BONNIE L MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 BELLEFONTAINE AVE STE 300, LIMA, OH 45804-2881
(419) 334-3869
(419) 334-8546
Mailing address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-8943
(419) 334-8619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35062425
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201718
ANTHEM
OH
01
—
03887
PARAMOUNT
OH
01
—
080164655
RAILROAD MEDICARE
OH
05
—
0935699
—
OH
01
—
735050
BUCKEYE
OH
Enumeration date
04/28/2006
Last updated
08/02/2021
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