MEDICARE: DERMATOLOGY CENTER OF OXFORD, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	5101010573	MI

General Provider Information

NPI Number	:	1518146323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY CENTER OF OXFORD, P.C.

Provider Business Mailing Address
First Line	:	2227 ROCK VALLEY RD
Second Line	:	SUITE A
City	:	METAMORA
State	:	MI
Zip	:	48455-9333
Country	:	US
Telephone Number	:	248-390-0435
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 ROCK VALLEY RD
Second Line	:	SUITE A
City	:	METAMORA
State	:	MI
Zip	:	48455-9333
Country	:	US
Telephone Number	:	248-390-0435
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. THOMAS HENRY BONINO JR.
Credential	:	D.O.
Telephone Number	:	248-390-0435

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	10/29/2007

Similar Medicare Providers

1851392310 — DR. MILTON JAMES GROSENBACH JR. EDD PC
Practice Location Address:

3562 S LAPEER RD STE F
METAMORA, MI
48455-8998

Practice Phone: 810-678-8898
Practice Fax: 810-668-8808

1306828652 — DR. POOJA TANGRI MD
Practice Location Address:

809 W DRYDEN RD
METAMORA, MI
48455-8961

Practice Phone: 810-678-4000
Practice Fax: 810-678-4077

1063492486 — DR. KEVIN CHARLES JACOB DC
Practice Location Address:

3820 S LAPEER RD
METAMORA, MI
48455-8751

Practice Phone: 910-678-2414
Practice Fax: 810-678-3936

1508808072 — DR. ROGER CURTIS GIETZEN MD
Practice Location Address:

3630-B THORNVILLE RD.
METAMORA, MI
48455

Practice Phone: 231-487-2220
Practice Fax: 231-487-6597

1497798326 — HEIDI R IRWIN DPT
Practice Location Address:

4053 S LAPEER RD , STE C
METAMORA, MI
48455-8721

Practice Phone: 810-678-3202
Practice Fax:

1588695993 — ROGER C. GIETZEN, M.D., P.C.
Practice Location Address:

3630B THORNVILLE RD
METAMORA, MI
48455-9399

Practice Phone: 586-838-0404
Practice Fax:

Directions to “DERMATOLOGY CENTER OF OXFORD, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.