Russell Bonneville III - Ann Arbor, MI

Russell Bonneville III

Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan

NPI 1447941216

Russell Bonneville III is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Russell Bonneville III practices in Ann Arbor, MI. The NPI Number for Russell Bonneville III is 1447941216 and holds a License No. 4351050611 (Michigan).

The current practice location address for Russell Bonneville III is 2215 Fuller Rd, Ann Arbor, MI and can be reached out via phone at 734-845-5290.

Location: 2215 Fuller Rd, Ann Arbor, MI, 48109-5000

NPI Number

1447941216

Provider Name

Russell Bonneville III

Credential

Provider Entity Type

Individual

Gender

Male

Address

2215 Fuller Rd, Ann Arbor, MI, 48109-5000

Phone Number

734-845-5290

Fax Number

Provider Enumeration Date

05/15/2023

Last Update Date

03/10/2024

Address

2215 Fuller Rd

City

Ann Arbor

State

Michigan

Zip

48105-2303

Phone Number

734-845-5290

Fax Number

Address

2215 Fuller Rd

City

Ann Arbor

State

Michigan

Zip

48105-2303

Phone Number

734-845-5290

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

4351050611 (Michigan)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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