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Contact Information

PHYLLIS M BONIFACE, MD
201 E LIBERTY ST
SUITE #11
ANN ARBOR, MI48104-2118
 Phone: 734-717-7702
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PHYLLIS M BONIFACE · (Female)

NPI Number 1548446503
Status Active
Credentials MD
Entity Individual
Enumeration date 01/21/2008
Last updated 01/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301053738
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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