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NPI Code Detail

MEDICARE: BONNIE J TALASKI RN

MEDICARE: BONNIE J TALASKI RN
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
1163WP2201XAmbulatory Care Registered Nurse4704165284MI

General Provider Information

NPI Number : 1871587014
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE J TALASKI RN
Provider Business Mailing Address
First Line : 2911 BLOOM RD
Second Line :
City : ALPENA
State : MI
Zip : 49707-7911
Country : US
Telephone Number : 989-358-4251
Fax Number : 989-354-8600
Provider Business Practice Location Address
First Line : 211 LONG RAPIDS RD
Second Line : ALPENA MEDICAL ARTS, PC
City : ALPENA
State : MI
Zip : 49707-1315
Country : US
Telephone Number : 989-358-4251
Fax Number : 989-354-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/03/2011

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