Daniel L Bonifacio D.O.

NPI 1033104880 - Internal Medicine - 207RC0000X

NPI Details
NPI 1033104880
Gender Male
Enumeration Date 09/19/2005
Last Updated 07/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1200 SIXTH ST
SUITE 200
TRAVERSE CITY MI, 49684-2369, US
Phone (231) 935-5800
Fax (231) 935-5822
Business Location
1200 SIXTH ST
PO BOX 1627
TRAVERSE CITY MI, 49684-2369, US
Phone (231) 935-5800
Fax (231) 935-5822
Toxanomy
Taxonomy Code 207RC0000X
License State Michigan
License Number 5101011505
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According to our database, Daniel L Bonifacio D.O. NPI is 1033104880, taxonomy code is 207RC0000X and license number is 5101011505, license state is located at Michigan. Daniel L Bonifacio D.O. physically located at 1200 Sixth St, Traverse City MI, 49684-2369. NPI Number Daniel L Bonifacio D.O. has the Individual type.

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1033104880 NPI number is provided on an as is basis without warranty of any kind. 1033104880 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel L Bonifacio D.O. are for informational purposes only.