Individual
HEMMILY BONILLA-PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, MMC 293, MINNEAPOLIS, MN 55455-0341
(612) 625-7634
Mailing address
631 FILLMORE ST NE, MINNEAPOLIS, MN 55413-2523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18545
MN
Other
Enumeration date
06/26/2007
Last updated
08/10/2007
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