Individual
MS. BONNIE ELAINE EDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2090
(517) 364-2987
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-2090
(517) 364-2987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003472
MI
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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