DR. Derek John Bonacci, O.D.

NPI #1356572804 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1356572804
Entity Type: Individual
Name: DR. Derek John Bonacci, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 31, 2009
Last Updated: Mar 15, 2018

Practice Location

Address: 2055 15TH ST N
City: Saint Cloud
State: Minnesota
ZIP Code: 56303-1747
Phone: (320) 251-1432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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