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

Katelyn E Bonkowski, MD

Individual provider Family Medicine Physician · NPI 1043870280

Katelyn E Bonkowski, MD is a Family Practice in Livonia, Michigan. Qualified in 2019, 7 years ago. Practices with Iha Olma Primary Non Risk LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

37595 7 Mile Rd Ste 210
Livonia, MI 48152-1489
Phone: (734) 853-5694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351045481 (MI)

Record details

NPI number1043870280
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address37595 7 Mile Rd Ste 210, Livonia, MI 48152-1489

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Iha Olma Primary Non Risk Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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