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Ronald Bonaventura
NPI 1063880573 · on the registry since 2015 · sole proprietor
Practice
- Address
- 22432 Harper Lake Ave
Saint Clair Shores, MI 48080 - Phone
- (586) 557-8398
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan