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Search › Michigan › 103K00000X

Madison Bonaminio

NPI 1962977470 · on the registry since 2018

Practice

Address
29566 Northwestern Hwy Ste 100
Southfield, MI 48034
Phone
(248) 579-3119
Fax
(248) 779-1819
Organisation at this address
Dales
Comprehensive Health Access Resource Of Michigan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
949

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-25

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