ALEC THOMAS BONIFER MD
Individual Provider (NPI-1)
Active
Otolaryngology, Plastic Surgery within the Head & Neck
Provider Information
- NPI Number
1407483167- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4069 LAKE DR SE STE 315, GRAND RAPIDS, MI, 495468816
- Phone
- (616) 267-7758
Specialties & Taxonomies
Otolaryngology
License: MI #4301513405
Otolaryngology, Plastic Surgery within the Head & Neck
Primary License: MI #4301513405
All Addresses
MAILING
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI, 495032560