DANIEL L BONIFACIO

TRAVERSE CITY, MI
NPI1033104880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MI  5101011505)
Enumeration Date2005-09-19
Last Update Date2022-07-21
Business Address
-- DANIEL L BONIFACIO D.O.
1200 SIXTH ST SUITE 200
TRAVERSE CITY, MI 49684-2369
Phone number: 231-935-5800
Mailing Address
-- DANIEL L BONIFACIO D.O.
2891 MOMENTUM PL
CHICAGO, IL 60689-5328
Phone number: 231-935-6080