Timothy Charles Bonner in Grand Rapids - Ophthalmology

Timothy Charles Bonner - NPI 1366498784

Timothy Charles Bonner is a Ophthalmology in Grand Rapids, Minnesota. Timothy Charles Bonner practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Timothy Charles Bonner is 1366498784. The last update date is 2015-05-19.

Timothy Charles Bonner's current location address is 1542 Golf Course Rd, Grand Rapids, Minnesota. You can contact this provider via phone number 2183263433 and fax number 2183263435. The mailing address for Timothy Charles Bonner is 1542 Golf Course Rd, Grand Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Charles Bonner
Address 1542 Golf Course Rd, Grand Rapids, Minnesota
Phone Number 2183263433
Fax Number 2183263435
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1366498784
Provider Enumeration Date 2006-05-26
Last Updated Date 2015-05-19

Provider Mailing Address Detail

Address 1542 Golf Course Rd
City Grand Rapids
State Minnesota (MN)
Post Code 557449603
Phone Number 2183263433
Fax Number 2183263435

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 27813
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
225067500 MN --
27813 MN STATE LICENSE

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FAQs about Timothy Charles Bonner

What is the Timothy Charles Bonner's 1366498784?

The Timothy Charles Bonner's NPI (National Provider Identifier) Number is 1366498784. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Timothy Charles Bonner is physically located?

The Timothy Charles Bonner is physically situated at the following address: 1542 Golf Course Rd, Grand Rapids, MN, 557449603.

What is Timothy Charles Bonner's area of expertise and its corresponding taxonomy classification?

The Timothy Charles Bonner's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1366498784 to Timothy Charles Bonner?

The Centers for Medicare & Medicaid Services assigned the 1366498784 to Timothy Charles Bonner on 2006-05-26.

When was the information pertaining to Timothy Charles Bonner most recently updated or revised?

The details related to Timothy Charles Bonner, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-19.

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