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Dr. Marc A Bonanni, DPM
Podiatrist in Plymouth, Michigan
NPI 1780645192

Marc A Bonanni is a Podiatrist based in Ann Arbor, MI. Marc A Bonanni practices in Plymouth, MI and has the professional credentials of DPM. The NPI Number for Marc A Bonanni is 1780645192 and holds a License No. 5901001940 (Michigan).

The current practice location address for Marc A Bonanni is 990 W Ann Arbor Trail, Plymouth, MI and can be reached out via phone at 734-572-1141 and via fax at 734-572-1142.

Location: 990 W Ann Arbor Trail, Plymouth, MI, 48105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780645192
Provider Name
Marc A Bonanni
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
990 W Ann Arbor Trail, Plymouth, MI, 48105
Phone Number
734-572-1141
Fax Number
734-572-1142
Provider Enumeration Date
03/28/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
4134728 05 MI
4144617 05 MI
4858215680 01 MI BCBSM PIN
institution
Provider Business Practice Location Address Details
Address
990 W Ann Arbor Trail
City
Plymouth
State
Michigan
Zip
48170-1686
Phone Number
734-572-1141
Fax Number
734-572-1142
person
Provider Business Mailing Address Details
Address
990 W Ann Arbor Trail
City
Plymouth
State
Michigan
Zip
48170-1686
Phone Number
734-572-1141
Fax Number
734-572-1142
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901001940 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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