person
Mr. Scott C Bonzheim, PA
Medical Physician Assistant in Clio, Michigan
NPI 1255386900

Scott C Bonzheim is a Medical Physician Assistant based in Lapeer, MI and is specialized in Medical. Scott C Bonzheim practices in Clio, MI and has the professional credentials of PA. The NPI Number for Scott C Bonzheim is 1255386900 and holds a License No. SB002841 (Michigan).

The current practice location address for Scott C Bonzheim is 4272 W Vienna Rd, Clio, MI and can be reached out via phone at 810-919-9415 and via fax at 810-686-1687.

Location: 4272 W Vienna Rd, Clio, MI, 48446
person
Provider Profile Details
NPI Number
1255386900
Provider Name
Scott C Bonzheim
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4272 W Vienna Rd, Clio, MI, 48446
Phone Number
810-919-9415
Fax Number
810-686-1687
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SB002841 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
4272 W Vienna Rd
City
State
Zip
48420-9454
Phone Number
810-919-9415
Fax Number
810-686-1687
person
Provider Business Mailing Address Details
Address
4272 W Vienna Rd
City
State
Zip
48420-9454
Phone Number
810-919-9415
Fax Number
810-686-1687
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
SB002841 (Michigan)
Definition
Definition to come...
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