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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEC THOMAS BONIFER, MD

Active

ALEC THOMAS BONIFER, MD is a Plastic Surgery within the Head & Neck healthcare provider located in GRAND RAPIDS, Michigan. NPI 1407483167 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · GRAND RAPIDS, MI

Registration Details

NPI Number
1407483167
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2020 (6.2038860553177 yrs)
Last Updated
Jul 31, 2025
Licenses
4301513405 (MI)
4301513405 (MI)

Practice Information

Address
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI, 495468816
Browse MI providers · Browse ZIP 49546
Phone
6162677758
Primary Specialty
Plastic Surgery within the Head & Neck
207YX0007X

Other Plastic Surgery within the Head & Neck Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. HAROLD N. HOLLANDER D.O. 1699739425
NICHOLAS CHARLES CAMERON DO 1801353990
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.