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Derrick Bonner I
Rehabilitation Practitioner in Mount Clemens, Michigan
NPI 1174061063

Derrick Bonner I is a Rehabilitation Practitioner based in Mount Clemens, MI. Derrick Bonner I practices in Mount Clemens, MI. The NPI Number for Derrick Bonner I is 1174061063 and holds a License No. (Michigan).

The current practice location address for Derrick Bonner I is 175 N Groesbeck Hwy, Mount Clemens, MI and can be reached out via phone at 586-627-0024.

Location: 175 N Groesbeck Hwy, Mount Clemens, MI, 48043-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174061063
Provider Name
Derrick Bonner I
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 N Groesbeck Hwy, Mount Clemens, MI, 48043-1562
Phone Number
586-627-0024
Fax Number
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 N Groesbeck Hwy
City
Mount Clemens
State
Michigan
Zip
48043-1562
Phone Number
586-627-0024
Fax Number
person
Provider Business Mailing Address Details
Address
175 N Groesbeck Hwy
City
Mount Clemens
State
Michigan
Zip
48043-1562
Phone Number
586-627-0024
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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