Individual provider · Type 1 NPI

Alec Thomas Bonifer, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Grand Rapids, MI

NPI number 1407483167 Active

Practice location

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816

Call (616) 267-7758 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X4301513405 (MI)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007X4301513405 (MI)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeri…

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About NPI 1407483167

Alec Thomas Bonifer, MD's National Provider Identifier is 1407483167, issued on Mar 24, 2020. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 31, 2025.