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Daniel L Bonifacio, DO
Cardiovascular Disease Physician in Traverse City, Michigan
NPI 1033104880

Daniel L Bonifacio is a Cardiovascular Disease Physician based in Chicago, MI and is specialized in Cardiovascular Disease. Daniel L Bonifacio practices in Traverse City, MI and has the professional credentials of DO. The NPI Number for Daniel L Bonifacio is 1033104880 and holds a License No. 5101011505 (Michigan).

The current practice location address for Daniel L Bonifacio is 1200 Sixth St, Traverse City, MI and can be reached out via phone at 231-935-5800 and via fax at 231-935-5799. You can also correspond with Daniel L Bonifacio through the mailing address at 2891 MOMENTUM PL, CHICAGO, IL - 60689-5328 (mailing address contact number: 231-935-6080).

Location: 1200 Sixth St, Traverse City, MI, 60689-5328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033104880
Provider Name
Daniel L Bonifacio
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1200 Sixth St, Traverse City, MI, 60689-5328
Phone Number
231-935-5800
Fax Number
231-935-5799
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4204742 05 MI
institution
Provider Business Practice Location Address Details
Address
1200 Sixth St
City
Traverse City
State
Michigan
Zip
49684-2369
Phone Number
231-935-5800
Fax Number
231-935-5799
person
Provider Business Mailing Address Details
Address
2891 Momentum Pl
City
Chicago
State
Illinois
Zip
60689-5328
Phone Number
231-935-6080
Fax Number
231-935-6081
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
5101011505 (Michigan)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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