Wayne Russsell Bonlie in Timonium - Family Medicine

Wayne Russsell Bonlie - NPI 1093770042

Wayne Russsell Bonlie is a Family Medicine in Timonium, Maryland. Wayne Russsell Bonlie practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wayne Russsell Bonlie is 1093770042. The last update date is 2016-01-26.

Wayne Russsell Bonlie's current location address is 30 E Padonia Rd, Timonium, Maryland. You can contact this provider via phone number 4105607404 and fax number 4435881725. The mailing address for Wayne Russsell Bonlie is 30 E Padonia Rd, Timonium, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne Russsell Bonlie
Address 30 E Padonia Rd, Timonium, Maryland
Phone Number 4105607404
Fax Number 4435881725
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1093770042
Provider Enumeration Date 2006-04-20
Last Updated Date 2016-01-26

Provider Mailing Address Detail

Address 30 E Padonia Rd
City Timonium
State Maryland (MD)
Post Code 210932345
Phone Number 4105607404
Fax Number 4435881725

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No D0062606
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Wayne Russsell Bonlie

What is the unique identifier code issued to Wayne Russsell Bonlie by the Centers for Medicare & Medicaid Services (CMS)?

The Wayne Russsell Bonlie has been assigned the NPI (National Provider Identifier) 1093770042. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Wayne Russsell Bonlie's facilities are situated?

The facilities of Wayne Russsell Bonlie are physically located at the following address: 30 E Padonia Rd, Timonium, MD, 210932345.

What is Wayne Russsell Bonlie's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wayne Russsell Bonlie's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093770042 to Wayne Russsell Bonlie?

The Wayne Russsell Bonlie received its 1093770042 assignment from the Centers for Medicare & Medicaid Services on 2006-04-20.

When was the information related to Wayne Russsell Bonlie most recently updated or refreshed?

The details pertaining to the Wayne Russsell Bonlie, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-26.

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