Theodor Bonstedt MD

NPI 1083663678 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083663678
Gender Male
Enumeration Date 05/09/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3033 WINKLER AVE
FT MYERS FL, 33916-9413, US
Phone (239) 939-3939
Fax (239) 931-6101
Business Location
6070 ANCHORLINE CT
FT MYERS FL, 33917-3174, US
Phone (239) 731-3280
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Indiana
License Number 01019011A
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According to our database, Dr. Theodor Bonstedt MD NPI is 1083663678, taxonomy code is 2084P0800X and license number is 01019011A, license state is located at Indiana. Theodor Bonstedt MD physically located at 3033 Winkler Ave, Ft Myers FL, 33916-9413. NPI Number Theodor Bonstedt MD has the Individual type.

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1083663678 NPI number is provided on an as is basis without warranty of any kind. 1083663678 is maintained by the National Plan & Provider Enumeration System. The contents of Theodor Bonstedt MD are for informational purposes only.