IndividualActive
Alec Bonifer, MD
NPI 1407483167 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1407483167
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301513405 (MI)
Practice location
4069 Lake Dr Se Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 267-7758
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2020-03-24
- Last updated
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.