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Search › North Carolina › 363A00000X

Michael Bonisa, PA-C

NPI 1760444723 · on the registry since 2006

Practice

Address
3623 Latrobe Dr
Suite 216
Charlotte, NC 28211
Phone
(704) 332-1291
Fax
(704) 332-5206
Organisation at this address
Stemap Llc
Delacy C Llc
Kerry Taylor Inc
Progressive Care Llc
Atum Professional Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
135

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
2085R0204X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina