Derrick Bonner I
Derrick Bonner I is a Rehabilitation Practitioner in Mount Clemens, Michigan. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
175 N Groesbeck HwyMount Clemens, MI 48043-1562
Phone: (586) 627-0024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1174061063 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 10, 2017 |
| Last updated in NPPES | February 10, 2017 |
| Mailing address | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 |