Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS MICHAEL BONTUMASI, M.D.
ActiveNICHOLAS MICHAEL BONTUMASI, M.D. is a Dermatology healthcare provider located in GRAND HAVEN, Michigan. NPI 1306289574 is currently active in the NPPES registry. Verify at CMS.
Dermatology · GRAND HAVEN, MI
Registration Details
- NPI Number
- 1306289574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2013 (13.367807891632 yrs)
- Last Updated
- Feb 28, 2022
- License
-
R-09922 (IA)
Practice Information
- Address
-
1600 S BEACON BLVD STE 160GRAND HAVEN, MI, 494172654Browse MI providers · Browse ZIP 49417
- Phone
- 6162682001
- Fax
- 6162682002
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.