Individual provider · Type 1 NPI

John Bodine, PA

Medical Physician Assistant · Royal Oak, MI

NPI number 1457530230 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 898-4021 Map

Fax (248) 898-1473

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601001693 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1457530230

John Bodine, PA's National Provider Identifier is 1457530230, issued on Oct 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 30, 2007.