CARISSA ANN BONNER

HOUGHTON LAKE, MI
NPI1699078170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704250132)
Enumeration Date2010-12-06
Last Update Date2015-03-20
Business Address
-- CARISSA ANN BONNER PNP
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629-9602
Phone number: 989-422-5122
Mailing Address
-- CARISSA ANN BONNER PNP
9249 W LAKE CITY RD
HOUGHTON LAKE, MI 48629-9602
Phone number: 989-422-5122
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