IndividualActive
Derrick Bonner
NPI 1174061063 · Rehabilitation Practitioner · Mount Clemens, MI
Provider details
- NPI number
- 1174061063
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone: (586) 627-0024
Approximate (ZIP-level) locationGet directions
Mailing address
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Registry dates
- Enumerated
- 2017-02-10
- Last updated
- 2017-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.