TYLER JOHN BONKOWSKI DO NPI 1174185904

NPI Information

NPI: 1174185904
Provider Name: TYLER JOHN BONKOWSKI, DO
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
22060 BEECH ST STE 200
DEARBORN, MI
ZIP 48124
Phone: (313) 228-0505
Get Directions

Tyler John Bonkowski, DO is a cardiovascular disease internal medicine in Dearborn, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Tyler John Bonkowski, DO NPI is 1174185904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22060 BEECH ST STE 200
DEARBORN, MI
ZIP 48124-853
Phone: (313) 228-0505

The enumeration date for this NPI number is 7/2/2019 and was last updated on 6/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		5151014105	MICHIGAN	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	5101026290	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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