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

Dr. Marc A Bonanni, DPM

Individual provider Podiatrist · NPI 1780645192

Dr. Marc A Bonanni, DPM is a Podiatry in Plymouth, Michigan. Graduated from William M. Scholl College of Podiatric Medicine in 1997, 29 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

990 W Ann Arbor Trl Ste 102
Plymouth, MI 48170-1686
Phone: (734) 572-1141
Fax: (734) 572-1142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5901001940 (MI)

Record details

NPI number1780645192
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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