National Provider Identifier Database

MARC A BONANNI, DPM – NPI #1780645192
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MARC A BONANNI, DPM
990 W ANN ARBOR TRAIL
SUITE 102
PLYMOUTH, MI48170-1686
Phone: 734-572-1141
Fax: 734-572-1142
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MARC A BONANNI

NPI Number 1780645192
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/28/2006
Last updated 01/23/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • MI License #: 5901001940
  • MI Medicaid: 4134728
  • MI Medicaid: 4144617
  • MI Other: 4858215680 BCBSM PIN
Hospital affiliation n/a

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.

Reviews for MARC A BONANNI, DPM

There are currently no reviews for MARC A BONANNI, DPM


NPIdb - Home
v2.201