John L Bonner Eye Clinic Ltd
NPI #1053351817 in Grand Rapids, Minnesota
Provider Information
- NPI Number
- 1053351817
- Entity Type
- Organization
- Organization Name
- John L Bonner Eye Clinic Ltd
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Oct 17, 2007
Practice Location
- Address
- 1542 GOLF COURSE RD
- Address 2
- SUITE 201
- City
- Grand Rapids
- State
- Minnesota
- ZIP Code
- 55744-9603
- Phone
- (218) 326-3433
Authorized Official
- Name
- DR. TIMOTHY CHARLES BONNER, M.D.
- Title
- PRESIDENT
- Phone
- (218) 326-3343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Ophthalmology |
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