Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel L Bonifacio, DO

Individual provider Cardiovascular Disease Physician · NPI 1033104880

Daniel L Bonifacio, DO is a Cardiovascular Disease Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 5101011505 (MI)

Record details

NPI number1033104880
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESJuly 21, 2022
Mailing address2891 Momentum Pl, Chicago, IL 60689-5328

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