Mark A Bonasso, PA-C
NPI #1396764841 in South Haven, Michigan
Provider Information
- NPI Number
- 1396764841
- Entity Type
- Individual
- Name
- Mark A Bonasso, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Mar 19, 2024
Practice Location
- Address
- 950 S BAILEY AVE STE 1
- City
- South Haven
- State
- Michigan
- ZIP Code
- 49090-8744
- Phone
- (269) 639-2866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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