RUSSELL BONNEVILLE

ANN ARBOR, MI
NPI1447941216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351050611)
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
RUSSELL BONNEVILLE
2215 FULLER RD
ANN ARBOR, MI 48105-2303
Phone number: 734-845-5290
Mailing Address
RUSSELL BONNEVILLE
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number:
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