Individual provider · Type 1 NPI

Michael Robert Bonisa, PA-C

Physician Assistant · Charlotte, NC

NPI number 1760444723 Active

Practice location

3623 Latrobe Dr, Suite 216
Charlotte, NC 28211

Call (704) 332-1291 Map

Fax (704) 332-5206

Mailing address

PO Box 221249
Charlotte, NC 28222-1249

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204X000102829 (NC)
Physician Assistant Primary 363A00000X000102829 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

40 other providers at this address

Other physician assistant providers in Charlotte

See all in Charlotte →

About NPI 1760444723

Michael Robert Bonisa, PA-C's National Provider Identifier is 1760444723, issued on Apr 5, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 3, 2023.